Test 4 Flashcards

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1
Q

Sexual dysfunctions
What is it
Why

A

Sexual response not how its supposed to be
Distress=sexual frustration-> anxiety, guilt, shame, depression

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2
Q

Female structure (8)

A

The vulva
Clitoris
Glans
Shaft

Blood rushes here when aroused:
Clitroal hood (prepuce)
Cavernous bodies
Vestibular bulbs

Bartholins gland

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3
Q

Penis structure

A

Foreskin (prepuce)
Cavernous bodies (corpora cavernous)
Spongy body (corpus spongiosum)
Urethra-> urine or semen comes out of it

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4
Q

Human sexual response cycle (5 stages)

A

Desire phase (psychological phase, fantasies, memories)

Arousal stage (blood rushing into areas)

Plateau phase (short time before orgasm)

Orgasm phase (contractions W, ejaculation M)

Resolution phrase (M not able to erect)

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5
Q

Desire disorders

A

AD/FSI
Male hyperactive sexual desire disorder
Female sexual interest arousal disorder

Lack of interest in sex

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6
Q

Sexual aversion disorder

A

Total disgust in sex
(Victim of sexual trauma)

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7
Q

Arousal disorder

A

FSI/AD:
Repeated inability to maintain proper lubrification

Make erectile disorder (ED):
Repeated inability to pepe hard

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8
Q

Orgasmic disorder

A

Rapid/premature ejaculation

Delayed ejaculation/male orgasmic disorder

Female orgasmic disorder

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9
Q

Sexual pain disorders

A

Pain during sex:
penetration disorder (GPPPD)

Vaginismus:
vagina tightening

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10
Q

Classified in 4 categories (time)

A

Lifelong
Acquired
Specific
Generalized

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11
Q

Causes of sexual dysfunction
Psychological factors

A

Performance anxiety
Hostility towards partner/relationship issues/life stressors
Depression
Negative attitude towards sex (socioculture)
History of sexual abuse/assault
Lack of sexual experience

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12
Q

Causes of sexual dysfunction
Biological factors

A

Low hormone levels (testosterone)
Cardiovascular issues
Meds/drugs
Low/high sensitivity to sexual stimulation
Post masturbation habits
Post menopause changes
Infections/diseases/injury

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13
Q

Sex therapy

A

Short term (10-15ses)
Focus on sexual issues
Dealing with couple problems
Sex education
Attitude change
Eliminate performance anxiety
Increase sexual/communication skills

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14
Q

Sex therapy
Specific techniques

A

Sensation focus exercises
Teasing technique (penile injection, vacuum devices, penile implant)

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15
Q

Paraphilias

A

Non-living objects
Humiliation of self/partner
Children
Non consenting people

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16
Q

Paraphilias
DSM5

A

Urges for at least 6 months
Distress
Self/others harm

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17
Q

Fetishism
Tx

A

Use of non living object
Commons: Ws underwear, shoes, boots
Behaviourists- classical conditioning

Tx
Aversion therapy
Covert sensitization
Masturbatory satiation (until bored)
Orgasmic reconditioning

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18
Q

Tranvestic fetishism (crossdress)

A

Dress in clothes of opposite gender to achieve sexual arousal
Typical case: married hetero male
Begins in childhood/adolescence
Not trans

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19
Q

Exhibitionism/flashing
Tx

A

Aroused by exposing genitals in public
Sexual contact not usually wanted
Begins before age 18
Tx: aversion therapy
Covert sensitization
Masturbating satiation
Orgasmic reconditioning

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20
Q

Pedophilia
Tx

A

Sexual activity with kids
Develops in adolescence
May have history of sexual abuse
Cycle of abuse (victim becomes abuser)
Most imprisoned/forced into Tx
Problem: motivation to change

Behavioural tx: aversion therapy, covert therapy, masturbating satiation, orgasmic reconditioning
Drugs: lowers desire (doesn’t change attraction)
Cognitive-behavioral tx: relapse-prevention training

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21
Q

Sadism
Causes
Tx

A

Making partner suffer
Fantasies may first appear in childhood/adolescence

Causes:
Classical conditioning/modelling
Feelings of sexual inadequacy
Brain/hormonal abnormalities

Tx: aversion therapy

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22
Q

Masochism
Causes
Tx

A

Being made to suffer
Distress/impairment
Most begin by fantasies in childhood
Caused: classical conditioning
Tx: CBT+Meds
SSRI/antidepressants
Or wait for it to go away

23
Q

Gender dysphoria
Causes
Tx

A

Being trans-> mismatch between gender identity and biology
Controversial
May cross dress
Causes: unknown
Tx: psychotherapy generally fails
Medical intervention
Hormone treatments
Gender conforming surgery

24
Q

Film clip: being trans

A

Gender identity not same as biological sex
Mija: 2 spirits (in diff culture)
Non binary
Top surgery: breast removal
Rejection, denial, negative reactions to coming out, bullying

25
Q

Schizophrenia
Psychosis

A

Loss of contact w reality
Disturbance of ability to perceive&respond to environment
Functioning impaired
Hallucinations/delusions

26
Q

Diagnosing schizophrenia
DSM5

A

Symptoms of psychosis for 6+ months
Deterioration in: social relations, work, self care

27
Q

Schizophrenia
Types of symptoms
+/-

A

Positive symptoms (addition)
Hallucinations/delusions
Loose associations
Neologisms (made up words)
Preservation
Clang (rhymes)
Heightened perceptions
Inappropriate affect (laughing at funeral)

Negative symptoms (substraction)
Poverty of speech Alogra (dont talk much)
Blunted/flat affect
Loss of volition (no motivation, drained)
Social withdrawal (similar to depression)

28
Q

Psychomotor symptoms (movement disorder)

A

Too much dopamine in brain
Awkward movements
Repeated grimaces
Odd gestures
Catalonia (freezes)

29
Q

Causes of schizophrenia

A

Diathesis-stress model

Biological predisposition+extreme environmental stressors=development of disorder

30
Q

Causes of schizophrenia
Biological view

A

Biochemical abnormalities
Dopamine hypothesis (fire too often)
Abnormal brain structure (enlarged ventricules)

31
Q

Causes of schizophrenia
Psychological view

A

Psychodynamic:
Freud regression to primary narcissism
Self centered symptoms
From reichmann: Schizophrenogenic mothers
Reject/use children to meet own needs

Cognitive
Brain produce strange/unreal sensations
Patient struggle to understand symptoms

Rational path to madness

32
Q

Causes schizophrenia
sociocultural

A

Rates differ between ethnic groups
(Poverty the issue)
Social labeling
Family dysfunction (family stress)

33
Q

Schizophrenia
Tx

A

Chronic condition:on meds for life
Meds: antipsychotic
Reduce symptoms in at least 65%
Non complice due to side effects

34
Q

Schizophrenia
Side effects of antipsychotic drugs

A

Conventional (D2 receptors)
Extrapyrmidal effects
Parkinsonian symptoms
Tardive dyskinesia->movement

Atypical (D1 serotonin receptors)
Less movement disorders
But agranulocytosis (drop in white blood cells:lethal)

35
Q

Tx schizo
Psychotherapy

A

Cognitive-behavioural focus
Change how view/read hallucinations
Education
Teach more accurately interpret hallucinations
Teach coping skills (ignore voices)
Med management

36
Q

Tx schizo
Sociocultural focus

A

Family therapy, social therapy, problem solving/decision making
Social skills training
Med management
All this reduces rehospitalization

37
Q

Conduct disorder

A

Repeatedly violate basic rights of others
Aggressive cruel towards kids/animals

Causes
Biological/environment
Poverty effect
Drug abuse
Post trauma, family hostility
Disturbed parent-child relationship

38
Q

Conduct disorder
Tx sociocultural

A

Sociocultural:
Family interventions
Parental video modeling
Parent management training

Residential tx
Treatment foster care

Institutionalization (doesn’t work)

39
Q

Conduct disorder
Cognitive behavioral tx

A

Child focused tx
CBT intervention (problem solving skills training, anger coping coping power program)

40
Q

Conduct disorder
Tx biological

A

Medication
Prevention

41
Q

ADHD
3 types

A

Inattentive (misplacing things)

Hyperactive (trouble sitting still)

Combined

Not a lot of dopamine in brain (not rewarded for every day tasks)

Hyperfocused

42
Q

ADHD

A

Difficulty paying attention to tasks/behave over actively/impulsively
Persists thru childhood

43
Q

ADHD causes
Biological

A

Abnormal DA activity: abnormalities in frontal striatal areas-low dopamine levels

44
Q

ADHD causes
Sociocultural

A

Social labelling

45
Q

ADHD tx

A

Drug therapy/meds most common
Behavioral therapy: parent teachers operant conditioning to modify behaviour

46
Q

Autism spectrum disorder

A

Lack of responsiveness/social reciprocity
Communication problems
Wide range of highly rigid repetitive behaviours, interests, activites
Attached to particular objects, freak out when something is misplaced (over/under stimulated)
Diagnose early as 3 yr (kid doesn’t make eye contact)

47
Q

Autism
Causes
Psych/bio

A

Psychological:
Central perceptued or cognitive disturbance (mind blindness? Not realizing others have minds/feelings

Biological:
Genetic factor
Biological abnormalities

Autism & brain: cerebellum, amygdala

48
Q

Autism 2 film clips

A

1: theory of mind: understanding other ppl have their own minds

2: detection & tx of autism
Brain disorder (increasingly past years)
Many disorder in one
Common: difficulty in social interactions
2/3 autistic ppl share gene mutation
Brain enlargement common

49
Q

Autism tx

A

Cognitive behavioral:
Teach new appropriate behaviours
Modelling/operant conditioning

Education/training in special education classes/programs

Communication training (sign language)

Parent training, individual/group therapy

50
Q

Recovery from mental illness

A
  • 1st stage: find correct diagnosis, relieve most severe symptoms, find social support
  • 2nd stage: more manageable/ maintain stability
51
Q

2 pillars

A

Uniqueness of each patient/right to determine path to mental health
Many intersecting factors impact mental health

52
Q

4 major dimensions

A

Health (make healthy choices)
Home (stable safe place to live)
Purpose (meaningful activities)
Community (social support)

53
Q

Recovery plan

A

Identify goals for achieving wellness
Specifiy how to reach them
Track changes in mental health
Identify triggers/stressful events