Week 2 - G - CAHMS definitions - Attachment, Oppositional defiant disorder/conduct disorder

Question 1

Strong emotional tie that develops over time between an infant and its primary caregiver(s). What is this?

Answer 1

Attachment

Question 2

Who is a primary caregiver?

Answer 2

Anyone who satisfies infants attachment needs

Question 3

What is proximity maintenance?

Answer 3

The desire to be near the people we are attached to.

Question 4

What is safe haven?

Answer 4

Returning to the attachment figure for comfort and safety in the face of a fear or threat.

Question 5

The attachment figure acts as a base of security from which the child can explore the surrounding environment. What is this?

Answer 5

Secure base

Question 6

Anxiety that occurs in the absence of the attachment figure. What is this?

Answer 6

Separation distress

Question 7

What are the 4 types of attachment?

Answer 7

Secure attachemnt

Anxious (avoidant) attachment

Anxious (ambivalent) attachment

Disorganised attachment response

Question 8

70% of children have a secure attachment What is secure attachment?

Answer 8

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.

Question 9

What does an avoidant and ambivalent attachment show in the child?

Answer 9

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

Question 10

What is Differences in activity, emotional and sociability known as?

Answer 10

Temperament

Question 11

What is egocentricism?

Answer 11

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

Question 12

What is the ability of individual to respond to emotional needs of another family member?

Answer 12

Affective responsiveness

Question 13

What is meant by affective involvement?

Answer 13

Degree and quality of concern and interest for one another

Question 14

What are the 4Ps structure of diagnosing and hleping depression?

Answer 14

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Question 15

What is the McMaster model of family functioning? - use it as aplan for a functoning family (clue - PCRAAB)

Answer 15

Problem solving

Communication

Roles

Affective responsiveness

Affective involvement

Behaviour control

Question 16

What is affective responsiveness?

Answer 16

the ability of individual to respond to emotional needs of another family member?

Question 17

What is meant for affective involvement?

Answer 17

Degree and quality of concern and interest for one another

Question 18

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?

Answer 18

Conduct disorder

Question 19

What are some of the symptoms of conduct disorder?

Answer 19

Aggressive behaviour

Deceitfulness

Destructive behaviour

Violation of rules

Lack remorse

Question 20

What is thought to be a precursor to conduct disorder? (ODD - clue)

Answer 20

Opositional defiant disorder

Question 21

Describe the differences in * Oppositional Defiant Disorder vs. Conduct Disorder

Answer 21

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

Question 22

What are two prenatal factors associated with conduct disorder? What perinatal factors are assoicated with it?

Answer 22

Two prenatal factors - maternal smoking and alcohol

Perinatal factors - low birth weight and birth complications

Question 23

WHat does conduct disorder increase the chances of the child being when they turn into an adult?

Answer 23

Increases chances of being dependent on welfare Being obese Having more hangovers

Question 24

____ is to conduct disorder as conduct disorder is to _____? (basically what predisposes to CD and what does CD predispose to)

Answer 24

Oppositional defiant disorder is to conduct disorder as conduct disorder is to Antisocial personality disorder

Question 25

When does conduct disorder become known as antisocial personality disorder?

Answer 25

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

Question 26

Those with conduct disorders tend to have callous and unemotional traits What does callous mean?

Answer 26

Callous in defined in the Oxford Dictionary as an adjective indicating insensitivity and cruelty.

Question 27

What type of attachment to the mother do children with a high callous and unemotional traits tend to have?

Answer 27

Disorganised attachment to the mother

Question 28

Treatment of Conduct Disorder

Answer 28

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