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abnormal psych 3
chs 9, 10, 11, 13. ucf
Question | Answer |
---|---|
What is a substance | Any agent that disrupts the psychological or physical balance of the individual over and beyond what is expected of food and drink |
Describe Substance related disorders | maladaptive behavior associated with substance use |
Describe Substance abuse | a maladaptive pattern of excessive use leading to notable impairment or distress in thinking, feeling, and behavior |
Describe Substance induced cognitive disorder | direct, acute or chronic effects of such substances on Central Nervous System (CNS) |
Describe Substance dependence | inability to cut down or control use, using much activity to obtain substance; involves tolerance and withdrawal |
Describe tolerance | needing and requiring increasing dosage of the substance |
Describe Withdrawal | physical or emotional symptoms such as shaking or irritability after reducing drug-induction (or substance-induction) |
Describe Intoxication | showing maladaptive behavior after drug intake |
Give an example of Substance related disorder | Alcohol-induced cirrhosis |
Give an example of Substance abuse | Alcoholism |
Contrast substance intoxication and substance induced cognitive disorder | Intoxication results in showing mal-adaptive behavior after drug intake whereas the induced disorder involves direct effects of the drug on the CNS |
What is alcohol’s effect on the Central Nervous System | Depression |
Describe long-term effects of alcohol in terms of Alcoholism | Serious addiction related to maladaptive behavior and negative impact on health |
Describe long-term effects of alcohol in terms of Cirrhosis | Damage to liver |
What disorders can result from Drugs | Each drug can result in an abuse disorder or dependency disorder |
How many substances will classify as Poly-substance dependence | At least three |
List the Depressants we discussed in class | Anti-anxiety drugs (minor tranquilizers), Opiates or narcotics (morphine, heroin, codeine), and Barbiturates or sleeping substances |
What is a stimulant | Any drug (substance) that stimulates central nervous system or brain centers |
Describe the stimulants we mentioned in class | Amphetamines (increases dopamine in the brain), caffeine and nicotine, and cocaine (increases dopamine in the brain) and crack (purified cocaine) |
What is also known as “pep pills” | Amphetamines |
Which drug is extracted from the coca plant | Cocaine |
What effect does PCP have on a person | May cause psychotic-like symptoms |
Research has shown what about marijuana and memory | Diminished cognitive functioning for days after use; adolescents have lower academic achievement and impaired attention, learning and cognitive processing as well as subtle abnormalities in brain structure |
What is the Biogenic Etiology of Substance related disorders in terms of Familial Alcoholism | involves genetic and heredity factors |
What is the Biogenic Etiology of Substance related disorders in terms of Non-familial Alcoholism | involves the environmental factors |
What is the Psychodynamic Etiology of Substance related disorders | Childhood trauma and fixation in the oral stage may cause alcoholism |
What is the Sociocultural Etiology of Substance related disorders | Consumption tends to increase or decrease with socioeconomic status; Cultural values play important roles in drinking patterns |
What is the Behavioral Etiology of Substance related disorders | Drinking behavior is learned |
What is Detoxification | the removal of the abusive substances and long-term maintenance without it |
What is involved in Alcoholics Anonymous | Support group |
What is the Pharmacological approach in terms of Antabuse | chemical agent used to create aversion to alcohol |
What is the Pharmacological approach in terms of Methadone | Synthetic narcotic chemical agent used to reduce craving for heroin and decrease withdrawal symptoms |
What is the Pharmacological approach in terms of Nicotine patch | chemical agent used to help smokers kick the addiction to cigarettes |
What therapies are used in cognitive/behavioral approaches | Aversion therapy and covert sensitization |
What is a multi-modal treatment | A combination of other approaches, including help facilities, support groups and family therapy |
What is the Sexual Response cycle | The normal course of sexual response from arousal to relaxation (after orgasm) |
Where would disorders take place | In the appetite, excitement, or orgasm phases |
Sexual desire dysfunction and example | Disorder in appetite phase related to a lack of sexual desire; types are hypoactive sexual desire disorder and sexual aversion disorder |
sexual arousal dysfunction and example | Disorder in excitement phase and relate to difficulties attaining or maintaining arousal; types are female sexual arousal disorder and male erectile disorder |
Orgasm dysfunction and example | Dysfunction in orgasm phase persistently delays or inhibits orgasm after person has entered orgasm phase; types are female orgasmic disorder, male orgasmic disorder, and premature ejaculation |
Sexual pain disorders and example | Recurrent or persistent pain in the genitals before, during or after sex; two types due to psychological reasons are dyspareunia (both sexes) and vaginismus |
What is the biological etiology of sexual dysfunctions | Lower levels of testosterone or high levels of estrogen associated with low sexual interest; testosterone suppressant drugs seem to decrease male sexual desire, though penile implants have been helpful |
What are the psychological factors for sexual dysfunctions | can include historical, pre-disposing factors, sexual trauma, inadequate or inappropriate sexual experiences and relationship conflicts |
When a woman has previously been able to achieve orgasm, but currently cannot experience one, what should she be diagnosed with | Secondary female orgasmic disorder or secondary inhibited female orgasm |
What kind of behavioral therapy can be used | Education, anxiety reduction and behavioral exercises are helpful; Sex therapists are available |
Compare and contrast Transsexualism and transvestite | Transsexualism is a conflict between a person’s anatomical sex and their gender identity whereas a transvestite dresses in clothing appropriate to the opposite sex |
Describe the Psychoanalytic etiology of Gender Identity Disorders | unresolved Oedipus or electra complexes and identification with the opposite sex parent |
Describe the Behavioral etiology of Gender Identity Disorders | parental encouragement of feminine behavior |
Describe the Biological etiology of Gender Identity Disorders | exposure to the opposite sex hormones affects the brain centers governing sexual orientations; This process usually happens during the fetal stage (2ND trimester) |
How can we use modeling for treating Gender Identity disorders | Same gender therapist facilitates a positive role model |
What is a paraphillia | Sexual urges and fantasies regarding (a) non-human objects; (b) real or simulated suffering and (c) non-consenting others |
Compare a voyeur to an exhibitionist | A voyeur likes to watch the genitals or sexual acts whereas an exhibitionist prefers to expose him/herself |
What is the sado-masochist relationship | Obtaining sexual gratification by inflicting or receiving pain |
Describe Necrophilia | (desire for) Sexual contact with a dead person |
Describe Zoophilia | (desire for) sexual contact with an animal |
Describe the Psychoanalytic etiology of paraphilias | Castration anxiety and unresolved Oedipus complex are important factors in males |
Describe the Behavioral etiology of paraphilias | Stress on the importance of early conditioning experiences |
Describe the Biogenic etiology of paraphilias | Possible association with genetic, neural, hormonal and brain abnormalities |
Define Rape | forcible sexual act against a person without his/her consent |
What does rape sexually affect (for the rapist) | Who can be the victim of rape |
Which type of rape compensates for feelings of personal/sexual inadequacies | Power rape |
Apply the cultural spill over theory to rape | Rape is more frequent in cultures that encourage violence |
What is the main form of treatment for sex offenders | Imprisonment |
How is incest treated | The abused is treated directly for original and compounded effects; the abuser is imprisoned |
Is homosexuality a sexual dysfunction | It is no longer classified as a deviation |
Old people don’t like sex as much as young people | False |
What is the difference between depression and mania | Depression is intense sadness, feelings of worthlessness and withdrawal whereas Mania is elevated mood, expansiveness, irritability and hyperactivity |
What are the affective symptoms of depression | sadness, unhappiness, “blue mood” and apathy |
Todd has a mild, low-grade form of depression that seems to have lasted for all his life, and is almost part of his personality; What form of depression does Todd have | Dysthymic disorder |
What are the symptoms of Mania | Elevated, expansive or irritable mood; Impairment of social and occupational functioning; uninhibited and impulsive behavior; Pressured and accelerated speech; and Decreased need for sleep with high level of arousal |
The DSM-IV distinguishes what two types of mania | Hypomania and mania |
What are some symptoms of hypomania | Elevated mood +3 or irritable mood +4; symptoms: pressured speech, inflated ego, decr need for sleep, racing thoughts, easy distractibility, increased psychomotor agitation, involvement in pleasurable activity with high potential for negative consequences |
What are the two types of mood disorders | Depressive disorders and bipolar disorders |
What is the prevalence of mania to major depression | One to nine |
What does the term “bipolar” indicate | The presence of manic and depressive episodes in the same patient |
Which mood disorder manifests in the form of persistent and chronic mood swings | Cyclothymia |
What are course specifiers | Seasonal mood changes or post-partum depression |
Describe the sociocultural etiology of depression | Expression varies culture to culture; Stress may activate, but can be counteracted by Social support; women are more prone due to submissive nature, but also more likely to seek help whereas men may mask it with substance abuse and anger |
Describe the psychoanalytic etiology of depression; What does anger at one’s self cause (psychoanalytic) | loss, especially through separation or death, causes feelings of being deserted or abandoned, leading to anger; anger turned inward causes depression |
Describe the learning etiology of depression | Person loses reinforcement with separation (or loss) from significant other or location; need to learn social behaviors to elicit positive reinforcements |
Describe the cognitive etiology of depression | Related to low self-esteem; a disturbance of thinking rather than mood |
Describe the Learned Helplessness etiology of depression | Due to actions having no effect on environment and feeling helpless as a result |
What neurotransmitters affect mania | Is it an increase or a decrease of these neurotransmitters |
When are endogenous (internal) factors more prominent | In more severe disorders including the psychotic forms of major mood disorders |
What medications are helpful in treating depressive disorders | Tricyclic antidepressants, Monoamine oxidase (MAO) inhibitors, Prozac What treatment for depressive disorders is used as a last resort only for severely depressed patients |
Marie sought a therapist for her depression, who then told her that only ECT, and not cognitive therapy, would relieve her depression; Why is this incorrect | Cognitive therapy can be as successful as drug therapy in treating depression |
What treatment method aims to replace illogical thoughts with positive and logical thought | Cognitive therapy |
What medications are used to treat bipolar disorders | Lithium carbonate |
What is Schizophrenia characterized by | Severely impaired cognitive processes; primarily involves disturbance of thinking |
Who called Schizophrenia Dementia Praecox in the 1890s | Emil Kraeplin |
Who coined the term schizophrenia | Bleuler (1911) |
Where did the term schizophrenia come from | From the terms schizen (split) and phren (mind) |
What are the positive symptoms of schizophrenia | Thought disorder, bizarre behavior, delusions and hallucinations |
Susan has been diagnosed with Schizophrenia, She often thinks that people, such as the government, are trying to control her actions and that they are removing her own thoughts; What delusions is she experiencing | Thought withdrawal and delusions of control |
What is it called when a patient with Schizophrenia forms new words that only he/she understands | Neologism |
What are the negative symptoms of Schizophrenia | Flat affect, anhedonia, avolition, and alogia |
What is the most common symptom of schizophrenia | Delusions |
What are the different types of Schizophrenia | Paranoid; disorganized (hebephrenia); catatonic; undifferentiated, residual; brief psychotic reaction; schizoaffective disorder |
What are the three phases of Schizophrenia and what occurs during these phases | Prodromal (onset and build-up of symptoms), active (full blown) and residual (severity declines) |
In order to give the diagnosis of residual schizophrenia, what must be involved | two or more of the following for a significant portion of time during a one month period: delusions, hallucination, disorganized speech, grossly disorganized or catatonic behavior, or negative symptoms |