week 4 - disorders of childhood Flashcards

1
Q

brain development - disorders identified by and critical periods

A

identified by - severity, duration, and degree of impairment

crirctical periods - gestation/infancy and adolescence

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2
Q

4 critical events at birth

A

-fluid to air environment and difference source of oxygen
-reduction in temperature
-change from continuous nutrient to discontinuous feeding
-change from sterility to environment full of pathogens

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3
Q

brain development - infancy

A

movement and vision areas develop first
brain growth goes from back to front
frontal lobes don’t finish development until early adulthood

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4
Q

early life stressors

A

natural disasters
death of a parent
maltreatment (abuse/neglect)

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5
Q

theories of attachment - Harlow

A

supplied infant monkeys with a cloth and wire surrogate
half fed by cloth half by surrogate
monkeys attached to the cloth monkey showing contact comfort fuels attachment

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6
Q

theories of attachment - Bowlby

A

-noted infants raised in orphanages showed higher risked of mental illnesses ‘

-show distress when caretakers leave but show pleasure when coming back

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7
Q

theories of attachment - Ainsworth

A

the strange situation - test to find out what kids are

-secure, avoidant, anxious, or disorganized attachment

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8
Q

attachment results

A

avoidant - aggressiveness in middle childhood
anxious - passive withdrawal in childhood mood disorders later in life
disorganized - personality and dissociative disorders

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9
Q

critical mechanisms

A

mirror neurons - fire when we do things or see others do them
theory of mind - inferring mental states of others

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10
Q

the social brain

A

social relations include
-face recognition
-emotional recognition - understand emotional context of circumstances
-regulating cognition - social understanding of others their relationships to us, a nd actions in social relationships

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11
Q

reactive attachment disorder (RAD)

A

diagnostic -
-consistent behavior of emotionally withdrawn towards adult caregivers
- a persistent social and emotional disturbance characterized by limited positive affect and episodes of unexplained sadness or irritability
-child has experienced pattern of extremes of insufficient care as evidenced -social neglect limited opportunities to form attachment

-often co occurs with developmental delays, prevalence - rare

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12
Q

disinhibited social engagement disorder

A

diagnostic -
-a pattern of behavior in which child actively approaches and interacts with unfamiliar adults - overly familiar verbally or physical behavior and willingness to go off with unfamiliar adult
- experienced a pattern of extremes of insufficient care
-the child has. adevelppemtal age of at least 9 months

-co occur with developmental delays
-prevalence - rare
-all evidence linked to neglect and features of disorder appear to be stable over time

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13
Q

Oppositional defiant disorder

A

-show anger and defiance, but don’t act aggressively towards others or destroy properly
-lose temper easily, argue with adults, blame others
diagnostic -
-angry/irritable mood
-argumentative/ defiant behavior
-vindictiveness
-common in families were childcare is disrupted and in homes with harsh, inconsistent, or neglectful parenting practices

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14
Q

conduct disorder

A

routinely violates the right of others
lack of connectedness
violates the rules of society
aggression, setting fires, harming animals
diagnostic -
aggression to people or animals
destruction of property
deceitfulness or theft’
serious violations of rules
causes significant impairment in social, academic , or occupational functioning
higher among males but different patterns by gender

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15
Q

treatment of antisocial personality and conduct disorder

A

parent child interaction therapy
-praise
-reflect
-imitating
-describing play
-using enthusiasm
(PRIDE)

multi systemic therapy - therapists coordinates messages from all parts of environment to build skills in family, problem solving

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16
Q

austims spectrum disorders

A

difficulties with social interactions, problems with communications, difficulty with behavioral processes, hypersensitivity

diagnostic -
-persistent deficits in social communication and social interaction across multiple contexts
-repetitive patterns of behavior
-3 levels of severity (1,2,3) each one worsening

-smaller head size at birth but larger head size by age 1 and larger cerebral volume by 2-4 years
appear to fail to develop a theory of mind
-not caused by vaccinations
-tied to dysfunctions in social processing portions of the brain

17
Q

the empathizing systemizing theory

A

suggests people with autism develop superior systemizing abilities of the brain

18
Q

treatment of autism

A

the lovaas program -
establishes a teaching relationship
teach foundational skills
focus on beginning communication
adapt to child to school situation

19
Q

ADHD

A

diagnostic criteria
-fails to give close attention or make careless mistakes
has trouble holding attention on tasks or play activities
easily distracted
forgetful in in daily activites
often fidgets
talks excessively
has trouble waiting for turn

several symptoms are present in two or more settings
symptoms present before age 12

2 dimensions - inattention and hyperactivity/impulsivity

20
Q

treatment for ADHD

A

stimulant drugs, biofeedback, cognitive/behavioral treatments,

21
Q

learning disabilities

A

achievement is lower than expected based on achievement or intelligence test scores
no precise definitions of what constitutes a difficulty

diagnostic - inaccurate slow and effortful word reading, difficulty understanding, spelling, mastering number sense

22
Q

intellectual developmental disorder

A

replace the former term “mental retardation”

-onset to prior adolescence, poor adaptive functioning, deficit in mental abilities

diagnostic -metal abilities with
-reasoning
problem solving
planning
abstract thinking
judgment
academic learning
deficits in adaptive functions

there is mild, moderate, and severe levels of functioning

genetic causes - Down syndrome and fragile X syndrome (producing too little protein)

biological causes - metabolic caused (phenylketurnia - an enzyme production problems lead to build up of phenylalanine can avoided by dietary restriction)

gestational causes - substances abuse, fetal infection, malnutrition

23
Q

IDD treatments

A

community residential programs, behavioral techniques for basic functioning, training for caretakers, sheltered workshops