Week 13 Flashcards

0
Q

A lot of things we fear have an

A

Evolutionary significance
Snacks, lizards spiders.

What we cannot control.
More likely die in a car crash,

We fear immediate. Not long term consequences.
And as is most available in memory. And taught to fear.

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1
Q

Agoraphobia

A

Fear of the marketplace

Far anxiety or 2 or more
Public transit
Open space, 
Standing in line, enclosed space
Outside of home alone. 

Linked to panic attacks. Avoidance learning. .

Avoids theses situations and they provoke fear or anx.
Persistent over time,

Mostly prevalent in women,
Lifetime 2%
Heritable ten dancers overreact anxiety.
Panic attack, panic disorder. Agora see diagram.

Fear of loss of control in public situation,
Related to panic symptoms.

Strictly speKing not a phobia.

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2
Q

Types of phobias.

Know the list I guesswork

A

Decide phobia,

Papophobia

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3
Q

Prevalence, of phobias, socially particulary common,

A

Others also common,
Some debilitating,

Realize ar is excessive and stupid.
Majority never seek treatment.

Case nancy,
Chance involved, incidental learning, is generalized and phobia is
born .

New learning is prevented, behaviour involves avoidance learning which is negatively reinforced, powerful, difficult to change behaviour! So that how the behaviour is maintained. Logic is relative.

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4
Q

Traumatic avoidance learning.

Shuttle box.

A

Grid floor, dogs shot.
Still terrified.

To unlearn, easiest way is a tranquilizer.

We use exposure, reinforcing itself.

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5
Q

In terms of trauma,

A

To self or others not too high for phobics.
Highest category does not remember.
condition explanation does not explain everything.

Critical periods and selective association,

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6
Q

Selective associations, !

A

More prone to learn to be afraid of certain things.
Eg monkeys
Don’t need exp just need observation,
Snake vs flower, selective,

Trait difference too.
Highly anxious neurotic, at risk two develop phobias.

Heritability?
35-40%
Dealing with anxiety most likely,

Easier to condition to evolutionary stimuli. Than neutrals shown in twin study,

Another study shows area of brain associated with fear and pain that lights up when fear stimuli are presented. A in this maze study when monsters jump out of no where,

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7
Q

Psychoanalytic explanation of phobias. Little hand

A

Fixations at Oedipal level.
Projected fear,

Castration anxiety, horses biting off willy.

Bogus, see model of phobias slide.

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8
Q

To treat phobias use

A

Exposure. (Not necessarily implosion)

Instead use, reciprocal inhibition, countered dictionary, systematic desensitization

Relax mediatitd, able to deal with each of those phases.

85% improve.

Progressive, as patient havituates. Now you can use virtual reality glasses!

Solves the fact that field exposure may not be so good.

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9
Q

Advantages of vr

Augments imaginative capacities.

A

Use with dementia who cannot go out! Virtual reality

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10
Q

Conversion and dissociativef disorders.

A

Used to be called hysteria.
Now 2 seperate.

Conversion
Looks like its neurologic and acts like it but is NOT
PHsyxhological.
Dsm definition,
Altered functions. Incompatibility between symptom and neurologic condition,

Cannot prove null hypothesis.
So this diagnosis is ripe for error.

Longitudinal studies show this, physical conditions should have been found in first pace.

Saw ex. Seizures,

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11
Q

Symptoms of conversion disorders.

A

Anesthesia.
Does not compnform with nerve structure.
Glove. Whole hand anesthesia. (Not paralysis)

Sensory symptoms.

Motor basically the same.

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12
Q

Dissociative disorders.

A

Amnesia,
De personalized
Dissociative identity disorder.

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13
Q

Dissociative amnesia

A

Cannot ecall (traumatic) autobiographical material,
With or without Dissociative fugue (means flight)
End up in different city

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14
Q

De realization disorder

A

Half have had them in life. Unreality, being observer of self.
Surroundings unreal.
Persist at.
Causes significan t distress. feelings scz often have, but reality tests show youi are there.

Mis attribute hand foot leg if right parietal lobe.
Monks mediatitd allow de personalized response.

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15
Q

DissocIteive id disorder

A

Disruption, in I’d characterized by two or more personality states. causes distress.
Not part of a cultural or religious practise.

Multiple personlity.
Milligan rapist ex

Not guilty due to insanity, first person to get it,

16
Q

The rise begins

A

Mpd has grown over the yeas.

Not character disorder like what is offered next year.

72 to over 40 000
That is called a FAD

As cases numbe of rose, definition also changed.

Child abuse,

17
Q

Twin study in conference readin

A

Oo

18
Q

Review of ocv

A

Blind occurs all over world.
Women, washing.
Men sexual.
Late adolescence and sadly 20 onset.

Repeated doubt unwanted, not pleasurable.
Must be time consuming and significant distress.

NOT TICKS

Compulsions response to obsession.

OCD is often avoidances, stigma surrounds it.

Social isolation may predispose.

Sari and cbt used for treatment.

Ego diatonic.
Know criteria for ruminations

19
Q

Cognitive vulnerability can be contagious.

A

Cv, interacts with stress and produces stress.
Cv like fixed mindset? Yes.
Stability distinct from mutability. Dull roommates share emotion,

Life’s stressors did not predict cv
But ppl around you do.

But higher cv, leads to more depression systems.

Contagion facts only rated to cv, does not predict depression
Changes in cv in fact in the mediator.

20
Q

Decline of dissociative disorders

A

Lost a lot in 1993

No longer supports dissociative disorders.

Was a fad. Fraud diagnosis, implant idea.

21
Q

Decline in disease model due to dissociative identify model fad. Led to

A

Socail cognitive model.

See diagram, not cultural component.

22
Q

Condemned paper,

Legitimatizing pedophilia,

A

Due to family structure,

Early child abuse though is important as it has many ramifications,
But the reality is that we believes beliefs at the cost of acknowledging or integrating adopting truths!

23
Q

Early maltreatment scars

A

Altered Limbic development,
Motor movement problem, less left side development.
Altered amygdala and corpus call osm.

24
Q

History of conversion disorders.

A

Started with Egyptians.
Displacement of uterus. HYSTERIA
Treatment as marriage

Due to sexual abstinence, treatment for conversion disorders recommended masterbation

Hysteria, renaissance
Mesmerism, hypnosis.
Highly effective.
Found him a fraud, even though successful. A sighed.
Hypnosis helps, you need to believe, remeber for EDPC course.

Could led to la bell indifference.

Hysteria is likely a learned behaviour,
Avoidance response, positive ein forced perhaps. Like OCD.

Histrionic personality disorder.

25
Q

Mass hysteria

A

More of a socail condition.

False exaggerated beliefs.
Contagion,
Convergence
Eg. Corro,

26
Q

Somatic disorders.

A

Somatic symptom disorders
Illness anxiety disorder

Eg. First.

27
Q

Ssd

A

Somatic (cognitive) symptoms distressing for daily life.

Change from dsm v, no longer test null for no medial thing.

Thoughts persistence, disproportionate.
Time line at least for 6 months.

28
Q

Illness identity disorder

A

Hypochondriac?

Preoccupied with having or acquiring a disorder. 
Mild somatic symptoms. 
Anxious about health. 
Excessive health behaviours. 
6 months.
29
Q

Somatic disorders result in.

A

Reduced activity
Limit focus, leas to sympathetic nervous system activated, and vicious circle of stress.
Avoidance without coping.

30
Q

Somatic will be more of a problem.

Def. changed

A

Mark manual,
Health websites
People love diseases.
Medical students think they have disease and attuned to body.
Find reasons for everything. Cyberchondriacs. ,

Sensitive to bodies.
Use physical responses to manipulate circumstances.

Money to be made and fame. Wow.

Will change healthy system.
If do not follow rules. 20% reflect diagnosis.
Mostly women un married lower ses.

Lead to large percentage where physician cannot explain !
People out there make a buck on this.

31
Q

Increase expenses as

A

Neurotisicms goes up!
SomTization with psychiatric disorder, ruin socialized medicine!
Huge cost.
Overlap with depression and panic.

32
Q

Vicious cycle is hopeless in somatic disorder.

A

Physician symptoms, no explanation, no diagnosis, anxiety increase and back to symptoms.

It’s in your head idea, they just go to another doctor.
Physician also cannot prove the null hypothesis.
Feel obligated to do something, expensive tests, anti depressant.

33
Q

What differential illness vs somatic disorders,

What are the similarities

A

See the slide.

Concerns, vs fear.

34
Q

Fatigue (neurasthenia)

A

Nerve weakness, different types.

Old ab PSYC would have just hysteria, and neurasthenia) fatigue. Still exists in europe.

See fatigue as depression or as chronic fatigue syndrome.

Law school student ex. Controlled parents,
Import export business, did well. Motivational dn symptoms,

35
Q

Dysthymia, depressions like, lesser degrees, ) vs fatigue

A

Fatigue has all same symptoms with a low grade fever !
Cfs! Viral, bacterial, hormonal.

Psychological factors again play a role.
Childhood trauma also effects severity of Cfs.
This is a theme of the course.

36
Q

Common cold of psychiatry

A

Depression!!!

37
Q

Mood disorder, depression.

A

Many articles,
Under
Anxiety
Happiness and joy, much much less.

Pursue, happiness and joy,
More income not more happy.

Need commence, relatedness and connection, autonomy.

Antidepressants up 400%
1/10 has a prescription for antidepressants.

Less than a third seek help.
Gp are no good a diagnosing it.