Test II Part II Flashcards

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0
Q

Positive symptoms

A

Symptoms that Seem to be excesses of or bizarre additions to normal thoughts emotions or behaviors

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1
Q

Psychosis

A

A state in which a person loess contact with reality

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2
Q

Persecutory delusions ( (schizophrenia))

A

People believe they’re being plotted against spied on threatened or victimized

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3
Q

Reference ( (schizophrenia))

A

Attaching special and personal meaning to the actions of others or to various objects or events

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4
Q

Grandiose illusions ( (schizophrenia))

A

Believe themselves to be empowered persons or especially great at something

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5
Q

Thought control ( (schizophrenia)

A

Feelings thoughts and actions are being controlled by others

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6
Q

Neologisms ( (schizophrenia))

A

Made up words that typically have meaning only to the person using them

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7
Q

Clang speech ( (schizophrenia))

A

Using rhyme to express themselves

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8
Q

Loose associations ( (schizophrenia))

A

Common thinking disturbance in schizo characterized by rapid shifts from one topic to another

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9
Q

Word salad ( (schizophrenia)

A

confused or unintelligible mixture of seemingly random words and phrases

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10
Q

Inappropriate effect ( (schizophrenia)

A

Showing emotions unsuited to the situation, like smiling at bad news

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11
Q

Negative symptoms of schizo

A

Deficits in normal thought emotions or behaviors

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12
Q

Type II schizo

A

Display more negative symptoms and may be tied largely to structural abnormalities in the brain

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13
Q

Alogia ( (schizophrenia))

A

Decrease in speech or speech content

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14
Q

Avolition ( (schizophrenia))

A

general lack of drive, or motivation to pursue meaningful goals

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15
Q

Catatonia ( (schizophrenia))

A

Pattern of extreme psychomotor symptoms

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16
Q

Prodromal phase (schizophrenia)

A

Symptoms are not yet obvious but deterioration is beginning

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17
Q

Active stage (schizophrenia)

A

Symptoms become apparent, may be triggered by stress or trauma in ones life

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18
Q

Residual phases (schizophrenia)

A

Return to a prodromal like level of functioning

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19
Q

Diagnosing type I schizo

A

Dominated by positive symptoms such as delusions and hallucinations

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20
Q

Diagnosing type II Schizo

A

Display more negative symptoms, such as restricted affects

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21
Q

DSM 5 criteria for schizophrenia

A
  • symptoms continue for six months or more
  • at least one of those months must be an active phase
  • must show deterioration in work, social life, or ability to care for themselves
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23
Q

Prognosis of schizophrenia

10 yrs later

A

most are independent
some have improved but still need work
10% commit suicide

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23
Q

Early conceptions of schiz

A

Wastebasket category for clinicians where the label was assigned to anyone who acted unpredictably or strangely

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24
Q

Gender and age factors in schizo

A

earlier onset in men, women greater onset after age 30

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25
Q

Brief psychotic disorder

A

Various psychotic symptoms such as delusions and hallucinations for less than 1 month

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26
Q

Schizophreniform disorder

A

Various psychotic symptoms for 1-6 months

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27
Q

Scizoaffective disorder

A

Marked symptoms of both schizo and a major depressive episode or a manic episode for 6 months or more

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28
Q

Delusional disorder

A

Persistent delusions that are not bizarre and not due to schizo for one month or more

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29
Q

Psychotic disorder associated with another medical condition

A

Hallucinations delusions or disorganized speech caused by a medical illness or brain damage

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30
Q

Substance induced psychotic disorder

A

Psychotic symptoms caused directly by a substance

31
Q

Schizophrenia

A

Psychotic disorder in which personal social and occupational functioning deteriorate as a result of strange perceptions unusual emotions and motor abnormalities

32
Q

Hallucinations vs delusions

A

H is false sensory perceptions

D is false beliefs

33
Q

Negative symptoms

A

Symptoms

34
Q

Type II schizo seems to be more closely related to _____.

A

Structural abnormalities

35
Q

Type I schizo seems to be related more to ______.

A

Biochemical abnormalities

36
Q

Anhendonia

A

General lack of pleasure or enjoyment

37
Q

Flat effect

A

Show almost no emotions at all

37
Q

Blunted affect

A

Showing less emotions that most other people

37
Q

Malingering

A

Intentionally feigning illness to achieve some external gain

37
Q

Conversion disorders

A

Medically unexplained bodily symptoms affect voluntary motor and sensory functions

37
Q

Predominant pain pattern

A

When the primary feature of somatic symptom disorder is pain

37
Q

Hysterical disorders

A

Conveyed the belief that excessive and uncontrolled emotions underlie the bodily symptoms found in conversion and somatic symptom disorders

37
Q

Illness anxiety disorder

A

Experience chronic anxiety about their health and are convinced they have a serious medical illness despite the absence of substantial symptoms. Constantly check bodies for signs of illness and misinterpret

37
Q

Body dysmorphic disorder

A

Become deeply concerned about some imagined or minor defect in their appearance

38
Q

Somatic symptom disorders

A

mental disorder characterized by physical symptoms that suggest physical illness or injury – symptoms that cannot be explained fully by a general medical condition

39
Q

Facticious disorder

A

exaggeration or falsification of one’s health, motivation is not personal gain

40
Q

Psychophysiological disorders

A

psychological condition causes or exacerbates physical symptoms

41
Q

Münchausen syndrome by proxy

A

mental illness in which a person acts as if an individual he or she is caring for has a physical or mental illness when the person is not really sick, usually their child

42
Q

Dissociative amnesia

A

Unable to recall important info, Usually of an upsetting nature, about their lives, not caused by physical factors

43
Q

Dissociative fugue

A

Persons forget personal identity and details of past but also flee to an entirely different location

44
Q

Depersonalization disorder

A

Marked by presence of persistent and recurrent episodes of depersonalization, derealization, or both.

45
Q

Dissociative identity disorder

A

Person develops two or more distinct personalities

46
Q

Reasons why DID is a controversial diagnosis

A

Incidences have skyrocketed, normal people under hypnosis can easily simulate symptoms of DID

47
Q

Psychodynamic theory of DID

A

Caused by repression, people fight off anxiety by unconsciously preventing painful memories or impulses from reaching awareness

48
Q

Behavioral theory of DID

A

Grows from normal drifting of mind or forgetting, and the response is caused by operant conditioning from the horrifying event

49
Q

State dependent learning theory of DID

A

Thoughts and memories and skills are tied exclusively to a particular state of arousal, so they recall a given event when they experience an arousal state almost identical to the state in which the memory was first formed, creating multiple personalities

50
Q

Self hypnosis and DID

A

Some children manage to escape from their abusive world by self hypnosis, mentally separating themselves from their bodies and becoming another person

51
Q

How research could test the validity of DID

A

Form careful description of DID
compare groups
Longitudinal research

52
Q

Clinical phenomenology of DID Putnam et. al
Investigated what?
What percent reported childhood sexual abuse?
What else did they find?

A

Relation between childhood trauma and DID
85% reported abuse
Also found # of alters correlated a severity of trauma

53
Q

False memory syndrome

A

condition in which a person’s identity and relationships are affected by memories that are factually incorrect but that they strongly believe

54
Q

Is DID distinct from other psychiatric disorders? Surpppo et. al
Compared what?
Found what?

A

Compared DID patients with non dissociative psych patients

Found that people with DID reported more and earlier childhood trauma and more unconventional views of reality

55
Q

Somatization pattern of somatic symptom disorder

A

Experience long lasting physical ailments that have no physical basis

56
Q

Selective dissociative amnesia

A

Remember some but not all events that occurred during a period of time

57
Q

Localized dissociative amnesia

A

Most common in which a person loses all memory of certain events that took place within a limited period of time, often triggered by a disturbing occurrence

58
Q

Generalized dissociative amnesia

A

Cannot remember events within certain period of time or earlier life events

59
Q

Continuous dissociative amnesia

A

Forgetting continues into the present as well as events before and during the tragedy

60
Q

How sub personalities differ

A

Identifying features, abilities/preferences, physiological responses

61
Q

Mutually amnesic relationships

A

Sub personalities have no awareness of one another

62
Q

Mutually congnizant relationship

A

Each sub personality is well aware of the rest

63
Q

One way amnesic relationships

A

Some personalities are aware of others but the awareness is not mutual

64
Q

Co conscious sub personalities

A

Quiet observers who watch the actions and thoughts of other personalities but don’t interact with them

77
Q

Derealization

A

Sense that ones surrounding are unreal or detached

78
Q

Depersonalization

A

Sense that ones own mental functioning or body is unreal or detached

86
Q

Treatment for DID

A

Recognize fully the nature of their disorder
Recover gaps in memory
Integrate sub personalities into one functional personality