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First Aid - Psych
Question | Answer |
---|---|
Classical Conditioning | Pavlov's dogs, learning in which a natural response is generated by conditioned stimulus that previously was presented with unconditioned stimulus. Usually deals with involuntary response. |
Operant Conditioning (4) categories are? | Positive: desired reward causes action (addition) Negative: Target behavior is followed by removal of ADVERSE stimulation (removal) Punishment: Repeated application of adverse stimulus Extinction: Discontinuation of positive or negative reinforcement |
Transference and Countertransference: | Transference (patient): Patient projects feelings onto physician Countertransference (doctor): Doctor projects feelings onto patient |
What is an ego defense? | Unconscious mental process used to resolve conflict and prevent undesired feelings (e.g. anxiety, depression) |
What are the Immature Ego Defenses? | Acting Out Dissociation Denial Displacement Fixation Identification Isolation Projection Rationalization Reaction Formation Regression Repression Splitting |
What are the Mature Defenses? | Alturism: alleviation of guilt by unsolicited generosity Humor: appreciate anxiety provoking circumstance Sublimation: replace unacceptable wish with course in value system Suppression: intentional withholding of idea of feeling |
What is the difference between Suppression and Repression? | Suppression is intentional, Repression is the involuntary withholding of feeling (not remembering traumatic event) |
What is the difference between Sublimation and Reaction Formation | Reaction Formation: Replacing a warded-off idea or feeling by an (unconsciously derived) emphasis on it's opposite (monastery) Sublimation: redirecting onto something that agrees with one's value system, taking frustration into sports. |
What are the Mature Defenses again? | Adults wear a SASH: Sublimation Alturism Supression Humor |
What are the effects of Infant Deprivation? | The 4 W's Weak Wordless Wanting Wary Deprivation >6mo can be irreversible, can result in death Long Term Effects: dec. muscle tone poor language poor socialization lack basic trust Anaclitic depression (infant withdrawn/unresp) Weight loss |
Signs of Physical Child Abuse? | Fractures: spiral, bucket-handle, ribs Burns: cig, scald Subdural Hematoma Bruise Retinal Hemorrhage Usually Biological Mother 3000 deaths a yr 80%<3yo |
Signs of Sexual Abuse? | Genital Trauma, Oral Trauma STDs, UTIs Usually known to victim, male Peak incidence 9-12yo |
Child Neglect | Failure to provide adequate food, shelter, supervision, education, affection. Most common form of neglect. Evidence: poor hygiene, malnutrition, withdrawal, impaired soc/emot development MUST BE REPORTED TO CHILD PROTECTIVE SERVICES |
What must be reported to child protective services (3)? | Physical and sexual abuse, as well as child neglect |
Child Onset Disorders (5) | ADHD Conduct Disorder (vs. antisocial personality disorder) Oppositional Defiant Disorder Tourette Syndrome Separation Anxiety |
What is a pervasive developmental disorder? | Difficulty w/ language and failure to acquire or early loss of social skills Autism Rett |
Neurotransmitter Changes Alzheimers? | Decreased Acetylcholine |
Neurotransmitter Changes Anxiety? | increase NEpi dec. GABA, 5HT |
Neurotransmitter Changes Depression? | decrease NEpi, GABA, 5HT |
Neurotransmitter Changes Huntington Disease? | dec GABA, ACh inc Dopamine |
Neurotransmitter Changes Parkinsons? | dec dopamine increase 5HT, ACh |
Neurotransmitter Changes Schizophrenia? | Increase Dopamine |
Korsakoff Amnesia | Classic anterograde amnesia caused by thiamine deficiency and destruction of the mammilary bodies. May cause retrograde amnesia, seen in alcoholics with confabulation. |
Wernicke-Korsakoff Syndrome | Triad: opthalmoplegia (extra occulomotor palsy) ataxia confusion other: confabulation, personality changes, memory loss (permanent) Damage: medial dorsal nucleus of the thalamus, mammilary bodies |
Dissociative Amnesia | Inability to recall personal information, usually due to trauma or stress. May be accompanied by dissociative fugue (abrupt travel or wandering during period of dissociative amnesia associated with traumatic circumstance) |
What is a Cognitive Disorder? | Changes in Cognition (memory, attn, language, judgement) associated with other abnormalities of the CNS, general medical condition, medications, substance use, Includes: Delerium Dementia |
Delerium | Changes in the Sensorium (consciousness changes) rapid dec. in attn and level of arousal Characterized: disorganized thinking, hallucinations, illusions, misperceptions, dist sleep/wake, cognitive dysfunction. Secondary to other conditions TX Antipsyc |
Dementia | Characterized by memory loss gradual decrease in intellectual ability. Irrev cause: Alzh, Lewy Body Dementia, Huntington, Pick's, CJD, chronic substance abuse Reversible cause: NPH, vit b12 def, hypoth, neurosyph, HIV |
Difference between Hallucination and Delusion? | Hallucination: misperceived external stimuli Delusion: false belief that persist despite the facts |
What is Psychosis? | Distorted perception of reality characterized by delusions, hallucinations, +/ disorganized thinking. Medical illness, psychiatric illness, both |
Schizophrenia: | >6mo increased dopamine 2 or more hallucination dellusion disorg speech disorg or catatonic behavior negative sx |
What are the (4) schizo types? | Schizoid Schizotypal +odd thinking Schizophrenic Schizoaffective +bipolar or depressive mood disorder (2wks of stable mood w/ psych sx, and major depressive, manic episode) |
Brief psychotic disorder? | <1 mo usually stress related |
Schizophreniphorm disorder? | The criteria for schizophrenia 1-6 mo. |
Delusional Disorder | |
Dissociative Disorders | |
Mood Disorders | |
Manic Episode | |
Hypomanic Episode | |
Bipolar Disorder | |
Major Depressive Disorder |