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Nur-341
Exam #4 - Impulse Contol/Sexuality
Term | Definition |
---|---|
What is oppositional defiant disorder? | Chris Barr |
How is mild oppositional defiant disorder defined? | Symptoms confined to one setting |
How is moderate oppositional defiant disorder defined? | Symptoms present in at least 2 settings |
How is severe oppositional defiant disorder defined? | Symptoms present in 3 or more settings |
What two components are a part of oppositional defiant disorder? | Behavioral and emotional components |
What impairment is a part of conduct disorder? | Impairment of behavior |
What is the persistent pattern of conduct disorder? | At least 1 criterion present for 6 months or more that violate others' rights or societal norms |
What are the five criteria of conduct disorder? | Aggressive behavior, fighting (use of weapons, cruelty to people/animals), destruction of property, stealing and lying, violation of rules |
What is the pattern for intermittent explosive disorder? | Pattern of outbursts and inability to control aggressive impulses |
How is intermittent explosive disorder triggered? | Really minor events |
What is the sequence of events in intermittent explosive disorder? | Tension --> aggression --> release --> remorse |
What are the neurobiological differences in people with intermittent explosive disorder? | Disregulation of serotonin and higher levels of testosterone |
What is the genetic-based etiology of oppositional defiant disorder and conduct disorder? | Reduced gray matter in the brain that is responsible for impulse control |
What medications are used to treat oppositional defiant disorder? | Not generally indicated; need a good swift kick in the ass |
What medications are used for intermittent explosive disorder? | SSRIs, mood stabilizers like lithium and anticonvulsants, and antipsychotics |
Why aren't antianxiety medications like benzodiazepines used to treat intermittent explosive disorder? | Because they decrease disinhibitions |
What medications are used to treat conduct disorder? | Antipsychotics, antidepressants, mood stabilizers, antianxiety (to control aggression) |
How is sexual dysfunction defined? | Problems with desire, arousal or orgasm |
What is gender dysphoria? | The gender they feel doesn't match their biological gender |
What are paraphilic disorders? | Using sexual stimuli or acts outside of societal norms |
What factors affect sexuality? | Biological, behavioral and psychological |
What are precipitating stressors that affect sexuality? | Physical illness or injury, psychiatric illness, medications, fear of STDs/HIV |
What medications can negatively impact sexual function? | Antihypertensives and SSRIs |
What coping mechanisms are related to sexual responses? | Fantasy, projection, denial, rationalization |
What is projection? | Blaming partner for problem |
What is one of the most frequently diagnosed disorders in children and adolescents? | Conduct disorder |