Week 2 - G - CAHMS definitions - Attachment, Oppositional defiant disorder/conduct disorder Flashcards
Strong emotional tie that develops over time between an infant and its primary caregiver(s). What is this?
Attachment
Who is a primary caregiver?
Anyone who satisfies infants attachment needs
What is proximity maintenance?
The desire to be near the people we are attached to.
What is safe haven?
Returning to the attachment figure for comfort and safety in the face of a fear or threat.
The attachment figure acts as a base of security from which the child can explore the surrounding environment. What is this?
Secure base
Anxiety that occurs in the absence of the attachment figure. What is this?
Separation distress
What are the 4 types of attachment?
Secure attachemnt
Anxious (avoidant) attachment
Anxious (ambivalent) attachment
Disorganised attachment response
70% of children have a secure attachment What is secure attachment?
Secure attachment is classified by children who show some distress when their caregiver leaves but are able to compose themselves knowing that their caregiver will return.
Children with secure attachment feel protected by their caregivers, and they know that they can depend on them to return.
What does an avoidant and ambivalent attachment show in the child?
Avoidant - Avoids or ignore the parent when he or she returns
Ambivalent - Unsure how to respond to the parent when he or she returns – despite large emotional response
What is Differences in activity, emotional and sociability known as?
Temperament
What is egocentricism?
Only able to consider their own point of view and see it as the only possible one
Inability to see the world from others perspective
What is the ability of individual to respond to emotional needs of another family member?
Affective responsiveness
What is meant by affective involvement?
Degree and quality of concern and interest for one another
What are the 4Ps structure of diagnosing and hleping depression?
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What is the McMaster model of family functioning? - use it as aplan for a functoning family (clue - PCRAAB)
Problem solving
Communication
Roles
Affective responsiveness
Affective involvement
Behaviour control
What is affective responsiveness?
the ability of individual to respond to emotional needs of another family member?
What is meant for affective involvement?
Degree and quality of concern and interest for one another
is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated. These behaviors are often referred to as “antisocial behaviors.” Children and adolescents with the disorder have a difficult time following rules and behaving in a socially acceptable way.
What is this?
Conduct disorder
What are some of the symptoms of conduct disorder?
Aggressive behaviour
Deceitfulness
Destructive behaviour
Violation of rules
Lack remorse
What is thought to be a precursor to conduct disorder? (ODD - clue)
Opositional defiant disorder
Describe the differences in * Oppositional Defiant Disorder vs. Conduct Disorder
Oppositional defiant disorder - has the same negative, hostile and defiant behaviour however without the violation of societal norms or rights of others (doesnt break laws)
CD is clearly problematic behavior that violates rights of others/norms of society to a greater degree than expected
What are two prenatal factors associated with conduct disorder? What perinatal factors are assoicated with it?
Two prenatal factors - maternal smoking and alcohol
Perinatal factors - low birth weight and birth complications
WHat does conduct disorder increase the chances of the child being when they turn into an adult?
Increases chances of being dependent on welfare Being obese Having more hangovers
____ is to conduct disorder as conduct disorder is to _____? (basically what predisposes to CD and what does CD predispose to)
Oppositional defiant disorder is to conduct disorder as conduct disorder is to Antisocial personality disorder
When does conduct disorder become known as antisocial personality disorder?
Conduct disorder is diagnosed in children below the age of 18 It can go on to cause antisocial personality disorder, the term is given after the age of 18

Those with conduct disorders tend to have callous and unemotional traits What does callous mean?
Callous in defined in the Oxford Dictionary as an adjective indicating insensitivity and cruelty.
What type of attachment to the mother do children with a high callous and unemotional traits tend to have?
Disorganised attachment to the mother

Treatment of Conduct Disorder
Prevention: develop social, emotional and cognitive skills * Parent training to reward prosocial behaviors * Multisystem treatments target the child, the family, the school and community * Individual cognitive therapy * Anger control training * Teaching moral reasoning