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Psychology exam
167 cards·by summons1
Pica
persisstent eating of non nutrtivie and non normative substances
rumination disorder
regurgitation of food
avoidant/restrictive food disorder
lack of interest in certain food so avoided
anorexia nervosa
characterzied by low body weight and intense fear of obesity
Bulimia nervosa
characterized by episodes of extreme binging and purging
binge eating disorder
binging and eating without compensating for it
two types of anorexia nervosa
restrictive diet and extreme exercise and binge/ purging
Biological Causes of eating disorder
hertiability from family, pubertal weight gain, and dysregulation of ghrelin and leptin
Psychological causes of eating disorder
body dissatisfaction, low self esteem, perfectionism, childhood sexual abuse
treatment for anorexia
weight gain
psychological treatment for anorexia
making them understand the importance of food and restablishing a healthy relationship with
food, see why they dont like food to correct
social . treatment for anorexia
improve functional and interpersonal relationships, family therapy, and addressing other
disorders
Treatment for Bulimia
Cognitive . behavioural therapy
Treatment for binge eating disorder
focus on factors that trigger bingeing and find coping strategies
Human sexual response cycle
1. Excitement 2. Plateu 3. Orgasm 4. Resolution
excitement
increased blood flow to genitals and muscle tension and sensitivity
plateau
decreased aatn to external stimuli and increase in heart rate
orgasm
muscular contractions in genitals n body
resolution
decrease blood flow, muscle tension and males in refractory period
sexual dsynfunction biological causes
abnormal weight, no limit in smok + alch, hormone deficient, medical cond , medications
sexual dsynfunction psychiological causes
chilhood abuse,performance anxiety, depression, prohibitive beliefs
sexual dysynfunction social causes
relationship unhealthy
male hypoactive sexual desire disorder
little to no interest in sexual activities : due to work sometime
female sexual interest disorder
reduction or absence of interest in sex often negative about sex
erectile disorder
inhibited sexual excitement
female orgasmic disorder
involves a persistent delay in orgasm
delayed ejaculation
delayed ejaculatiomn
premature ejaculation
minute men.....
genito-pelvic pain/ pentration disorder
involves pain during sex
Dyspareunia
Pain during intercourse ( coochie dry, infection, and vaginal injury)
Vaginismus
vaginal wall or pelvic floor spasm when sex is tried accompies pain and sex isnt possible
pentration disorder is not limited to
sexual experiences
Biological treatment for sexual dysnfunction
hormone replacement, surgery, mechinal, penile implants, medications (viagra)
medications not 100% effective
biological treatment for genito pelvic pain
creams containing antifungals and corticosteroids or estrogen
psychological treatment for sexual dysfunction disorder
sex-ed, anxiety reduction, changing maladaptive beliefs, tasks to increase sexual
interaction, communication training
hyper sexuality
not in dsm but obsessive over sex
paraphiliic disorder
abnormal sexual behaviour
paraphilia
sexual arousal or gratification of socially unacceptable objects
parphilic disorder
only diagnosed when harm to others and self
fetishistic disorder
strong sexual attraction to objects or body parts not related to genital
transvetic disorder
sexually aroused by cross dressing
exhibitionistic disorder
urges or fantasies to flash genitals
voyeuristic disorder
urges or acts involve observing an unsuspecting person who is naked (in private
environments)
frotteuristic disorder
sexual urges to touch individuals against their consent (usually occurs in crowded
environment)
pedophlic disorder
sexual urgers towards prepubscent children and early prubescent children
sexual sadism disorder
to enjoy the pain of others in sex
sexual masochism disorder
arousal when abused during sex
biolgocial causes to paraphilic disorders
pedophilic (reduced right amygdala activity and less white matter in certain regions of the
brain)
psychological causes to paraphilic disorders
psychodynamic tradition: fear of castration, learning (exposure), juvenile sex
offenders, unusual sex interests low self esteem, impulsivity
2psychological causes to paraphilic disorders
earlier exposure to sex and sexual abusers
treatments for paraphlic disorders
medications (inaccurate), encouraging sexually appropriate behaviours, weaken
inappropriate behav,m developing social skills, CBT relapse p
Gender dysphoria
Incongruent sense of gender, addressed as he but believe you should be a she
causes to gender dysphoria
poorly misunderstood but prenatal exposure to androgens, maybe neurohormones matter,
childhood experiences,
gender dysphoria treatment
often little support provided but gender transition surgery psychological interventions
in children, hormone therapy, (sex surgery issues)
PATTERN OF ADDICTIONNNN
intoxication->bingeing -> withdrawal -> craving -> intoxication again (cycle)
Nicotine
increase dopamine within Ventral tegmental area
alcohol and opiates
reduce inhibiton of dopamine released by VTA and causes it to increase
Opiates
mimic dopamine action in NA
Cocaine
blocks dopamine uptake or increases dopamine released by VTa leads to more dopamine
Alter Na and Vta
heighten memories of past drug experiences
Drugs and Brain
PFC cant regulate the mesolimbic dopmaine system releases dopamine
DSM-5 for a substance use disorder
needs to have two for a 12 month period
Level of severity (Mild)
2-3 symptoms presemnt'
level of severity (moderate)
4-5 symptoms present
level of severity (severe)
26 symptoms present
opiates
produce both drowsiness and euphoria increases dopamine and bind to endorphin sites,
tolerance increases OD is common Fentanyl
withdrawal symptoms of opiates
restlessness, muscle pain, insomnia, cold flashes
opiates
endorphins, heroin, codeine, morphine, methadane, and oxycodone
sedatives
prescribed to relieve muscle tension, insomnia, agitation and anxiety
Barbiturates
sedative: low dose: relax muscles and produce mild well being: high dose: disorientated :
dangerously high: suffocation
benzodiazepines
low dosage: produce mild feelings of well being, can lead to dependance because of tolerance
(withdrawal)
Benzodiazepines and alchohol
dangerous and can be depressant extreme and act on GABA system
stimulants
jumpstart CNS
Stimulants unwanted side effects
heart arrhythmias, dizzinessm tremors, sweating, anxiety paranoia, agitation,
hostility, and restlessness
amphetamines abuse
euphoria, sociable, anxiety, anger, impaired . judgement and social functioning
physical changes of amphetamines
vomitting, high heartrarte, sweating, chills, nausea,
cocaine
low doses: euphoria increased BP and HR, insomnia parnoia, and reduced appetite, potential
for tolerance, dependence and withdrawal DOP^^
Nicotine and tobacco
stimulant and depressant: releases doapmine, acetylcholine and epinephrine
hallucinogens
lSD, vivid visual experience, less addictive
LSD
hallucinogen that decreases serotnin and increase dopamine
dissociitave anesthetics
produce dream like detachments in humans
Dextromehorphan/ LEAN
syrup that causes disorientation confusion sensory dystortion hypothermia and increased
bp and heart arrhythmia
inhalants
intoxication through vapors: imparied judgement, euphoria , dizziness and slurred speech
inhalants dangers
heart failure and stroke and acute respitory distress
designer drugs
estacy and synthetic marijuana : High followed by crash
WEED
we already aware bruh
causes to substance abuse
genetic, reward circuit, positive/ negative reinforcement, expectancy effect, coping,
behavioural under control lack of conscience,
2n causes to substance abuse
social: victimization, childhood abuse permissive family , adolescence, college and
advertising
substance abuse treatment
in patient and out patient. remove drugs, increase understanding of factors related to
addiction, , medication,
agonist substitution
providing a safer drug ex methadane
antagonist treatment
providing drug that blocks the action of addictive drug ex: naltrexone
aversive treatment
providing a drug that produces unpleasent effects when addictive drug is used disulfiram
(antabuse)
psychological treatment
controlled used, component treatment, social skills training, cue exposure training,
relapse prevention using CBT to help resist temptations
Component treatmenet
combines medication and psychological treatment
aversion therapy
pairing psychological with antabuse
contingency management
reward positive behaviour
community reinfocement
focusing interpersonal relationships
Gambling disorder
addicted to gambling most dont admit problem
kleptomania
urge to steal for no profit
pyromania
addicted setting shit on fiyreeee
internet gaming disorder (not yet in DSM)
addicted to gaming
normative aging
vocabulary same, speed decrease, episodic memory decrease, spatial visualization
decrease, reasoning decrease with age
changes in functioning with age
reduction in brain volume in hippocampus, pfc and difficulty in turning off default network
delirium
state of confusion; develops over a period of hours and fluctuate
major and mild neurocognitive disorders
person shows cognitive deficits that are greater than the normal ageing; MEMORY, ATTENTION,
AND SOCIAL PROBLEMS
Major neurocognitive disorder / dementia
gradual deterioration of judgement memory language and other cognitive processes that
INTEFERE WITH INDEPENDENCE
mild neurocogntive disorder (New dsm-5)
focuses on early stages and modest, large human and financial costs
major and mild neurocogntive causes
alzheimers disease and deterioration
Neurocognitive disorder because of alzheimer
memory and orientation judgement and reasoning, learning problems, irritability and
social withdrawal, aphasia, apraxia agnosia, anomia
aphasia
issues with language
apraxia
moto problems
agnosia
no recognition
anomia
cant name objecgts
affects of alzheimers in brain
neuronal and synpatic loss : abnormalities: neurofibrillary tangles neauritic plaques
Neurofibrillary tangles
found inside nerve cell twisted fibres tau tau is core protein which helps transport
nutrients
Neurtic (beta amyloid) plaques
composed of beta amyloid; aggregate amyloid
causes of alzheimers
genetic. early onset before age 65, mutation in certain genes, inherting 2 copies certain
ApoE allele
environmental causes of alzheimers
lifestyle associated with cardiovascular disease and stroke , unhealthy diet, no physical
actvity, smoking, stress, and alcohol abuse drug
vascular neurocognitive disorder
invovles cognitive declines due to reduced blood flow to the brain
atherosclerosis b4 vascular neurocognitve disorder
thcikening of arties due to build up of plaque that narrows arteries
frontotemperal neurocognitve disorder/picks disease
characterized by a reduction of the anterior lobes of the frontal and temporal areas
symptoms of picks disease
impulsivity, apathy, loss of empathy, stereotyped behaviroual patterns, overeating
causesof frontotemporal neurocognitive disorder
genetic mutation contribute to 40% \
Neurocogntivie disorder due to traumatic brain injury
Falls 35.2% other 21% car acc 17.3 . %, struck by object 16.5% assault 10%
Neurocogntive disorder duye to lewy body dementia
lewy bodies are abnormal aggregates of proteins
lewybody dementia
change in alertness . attn visual hallucninations and parkinsons like symptoms
parkinsons disease
tremors in hands arms legs jaw and face, slowness, drooping posture; damge in substantia
nigra
substance induced neurocognitive disorder
drugs cause neurocognitive disorder
HIV infection Neurocognitive
slower mental processing if HIV is untreated
Hungtingons disease
rare, genetically transmitted, attention, planning, problem solving, memory, arthemtic,
and spatial abilities affected
Prions disease
infectious pathogens that are structurally different than other pathogens and spongy holes
in the brain
treatment of Neurocognitibe diesease
Fix medical conditions, rehabilitiaion, biological treatments : medications,
psychological address social and emotional stress, lifestyle!
treatment of neurocognviitve diesaes 2
environemtnal supprot and make changes that can hinder recovery
5 model of personality
ocean
Cluster a of personality disorder
odd or . eccentric disorders
cluster b
emotional dramtic and erratic disorders
cluster c
fear disorders
personality disorders causes
heritability 40-60% and abuse
treatment of personality disorders'
structure, treatment alliance, consistency, validation, motivation, metacognition
paranoid personality disorder
excessive distrust of others without justifciation
schizoid personality disorder
detachment from social relationships and no expression of emotion
symptoms of schizoid personality disorder
eccedntric paranoid or peculiar thoughts and behaviours and a high degree of discomfort and
reduced capacity of interpersonal relationship
antisocial personality disorder
disregard of others and violation of others right, evidence of conduct disorder b4 age 15
psychopathy
not included in dsm-5 : emphasis of internal functioning and emotional detachment
causes of APD
gene/environment, fearlessness hypothesis
borderline personality disorder
overly sensitive disorder , lack of stable sense of self, hypersensitive to social stress and
behavioural excesses
biological cause of BPD
genetics, reduced brain volume in regions w/ emotional regulation, activity in insular
regions differs,
psychological cause of BPD
negative cognitions " world is dangerous"
Social cause of BPD
childhood abuse or neglect
BPD treatment
medication, psychotherapy
BPD psychotherapy
pretreatment, stage 1: developing a stable life, stage2: addresses traumatic experiences,
stage 3: self respect
Dynamic Deconstructive Psychotherapy
effective for those who find therapy difficult or with comorbid conditions like substance
abuse" focus on developing sense of self
Transference focused psycho therapy -
reduce self destructing behaviours and developing sense of self
Histrionic personality disorder
people who suffer with attention seeking disorder, dramatic as hell, center of attention
Narcisstic personality disorder
need for admiration and lack of empathy
NPD
constant attention, cant take criticism, overestimates talents, sense of entitlement
Avoidant personality disorder
pervasive pattern of social inhibition, feelings of inadequecy, and hypersensitivity to
negative evaluation
Dependent personality disorder
exessive need to be taken care of that leads to clinging behaviour
Obsessive cumpulsive disorder
obessions that leads to compulsions of perfection
Unfit to stand trial
person isnt able to understand proceedings or environment
insanity changed to
mental disorder
All participants in legal mental study
have rights to privacy, confidentiality, and anomnity
Therapists must guarantee
informed consent, boundaries, no harm, recognizing limits of competence,
andconfidentiality with limits
Duty to warm USA
Tarasoff vs R
Tarasof v. regents
declared therapists have duty to warn third party of impending danger
Duty to warn Canada
no legal duty but ethical duty to warn third parties of danger under Canadian psychological
Association code of ethics
Expert witness testimony
allowing experts on the stand to give info about person's mental disorder can be good and bad
depending