Abnormal Psych Rutgers Stein Cumulative Final – Flashcards

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Abnormal Behavior
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application of psychological science to the study of mental disorder.
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Psychopathology
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pathology of the mind
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DSM-5
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defines mental disorders associated with (any or all)
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Epidemiology
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study of frequency and distribution of disorders within a population.
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Incidence
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number of new cases of a disorder that appears in a population during a specific period of time.
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Comorbidity
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Presence of more than one condition within the same period of time.
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Clinical Psychologists
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Complete Ph.D or Psy.D and are trained in assessment, psychotherapy, and applying scientific principles to the of abnormal behavior.
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Psychiatrists
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Physicians who specialize in treating mental disorders often prescribe medications.
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Social Worker
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M.S.W and are committed to the action that may be socially based or individually based.
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Counselor
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Provide individual and family psychotherapy
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Etiology
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The case or manner of causation of a disease or condition
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Biopsychosocial Model
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Integrates evidence from across biological, psychological and social dimensions of behavior.
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Biochemical Paradigm
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Looks for biological abnormalities that cause behavior
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Psychodynamic Paradigm
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Asserts abnormal behavior is caused by unconscious mental conflicts that have roots in early childhood experiences.
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Cognitive Behavioral Paradigm
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Views abnormal behavior as a product of learning
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Humanistic Paradigm
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Opposes the biological, psychoanalytic, and behavioral explanations, emphasizes free will, views human nature as inherently good.
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Diathesis-stress model
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A predisposition toward developing a disorder
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Correlation vs. Experiment
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Correlation- measure of how closely two variables are associated. Experiment- procedure to make a discovery, or demonstrate a known fact
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Psychotherapy
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The use of psychological techniques and the therapist-client relationship to produce emotional, cognitive, and behavior change.
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Evidence-based Treatments
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Practical and scientific approach to therapy
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Biological Treatments
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Often alleviate symptoms rather than cure disorders
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Psychoanalysis
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A systematic structure of theories concerning the relation of conscious and unconscious psychological processes.
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Cognitive Behavior Therapy
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Short-term, goal oriented psychotherapy treatment that takes a hands on, practical approach to problem solving.
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Dialectic Behavioral Therapy
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Emphasizes mindfulness; increased awareness of feelings, thoughts and motivations
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Humanistic Therapy
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Developed as an alternative to psychodynamic and behavioral approaches
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Classification
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Used to subdivide or organize a set of objects
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Diagnosis
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Identification or recognition of a disorder on the basis of its characteristics
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Limitations of the Classification System
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- Many disorders appear dimensional - Existing threshold are too vague
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Clinical Assessment
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Collecting and interpreting information that will be used to understanding another person
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Projective Personality Tests
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Person is presented with ambitious stimuli and asked to generate a response
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Rorschach Test
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Consists of a series of 10 Ink blots used to access personality characteristics and psychopathology
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Thematic Appreciation Test (TAT)
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Consists of a series of drawings that depict human figures in various ambiguous situations.
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Brain Imaging Techniques
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Examining the brain through x-ray procedures
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MRI (Magnetic Resonance Imaging)
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Provides cleaver images; which can be transformed into 3D
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fMRI (Functional Magnetic Resonance Imaging)
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Highlights brain functioning as its occurring
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CT (Computed Tomography)
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Can provide a static image of specific brain structures
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PET (Position Emission Tomography Scanning)
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Provides detailed images of the brain and reflects changes in activity of the brain
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Clinical Depression
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Depressed mood accompanied by other symptoms such as loss of energy, pleasure, fatigue, changes in sleep and appetite
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Mania
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Flip side of depression
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Major Depressive Disorder
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Experience of a depressive episode
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Bipolar Disorder
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Episodes of depression and mania
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Persistent Depressive Disorder (Dysthymia)
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Chronic state of depression; the symptoms are the same as those of major depression but they are less severe
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Premenstrual Dysphoric Disorder
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Changes in sleep, appetite, libido sadness, despair, anxiety, tension
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Bipolar I
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At least one manic episode (one week)
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Bipolar II
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At least one hypomanic episode, no full blown manic episode (4 days and does not disturb functioning)
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Cyclothymia
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Bipolar equivalent dysthymia (2 years)
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Cognitive Therapy
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Focus on recognizing, challenging and overcoming cognitive distributions and errors in logic
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Interpersonal Therapy
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Focuses on interpersonal factors in current relationships that cause and maintain depression
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5 Medications
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- SSRIs - Tricyclics - MAO-I inhibitors - Lithium - Anticonvulsants
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SSRIs (Selective Seretonin Reuptake Inhibitors)
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Inhibit the reuptake of serotonin without affecting other neurotransmitters
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Tricyclics
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Blocks the uptake of neurotransmitters from the synapse
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MAO-I inhibitors (Monoaime Oxidase Inhibitors)
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Not widely used because of the dietary restrictions; used for anxiety
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Lithium
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Very effective for treating bipolar patients in a manic or depressive phase
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Anticonvulsants
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Used to treat rapid cycling; 50% of bipolar patients respond positively
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Seasonal Affective Disorder
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A mood disorder in which the onset of episodes is associated with changes in season
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Anxiety Disorder Symptoms
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Are preoccupied with, and/or persistently avoidant of thoughts or situations that provoke fear or anxiety
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Anxiety
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A feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome
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Panic Attack (cued, unexpected)
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cued: expected or occurring online in the presence of a particular stimulus unexpected: appear without warning or expectation; as if "out of the blue"
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Specific Phobia
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Fear of specific objects or situations
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Social Anxiety Disorder
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Performance and interactions in social situations are the focus of fear
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Agoraphobia
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Fear of heights
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Generalized Anxiety Disorder (GAD)
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Excessive anxiety and worry about a number of distinct events or activities that are over a period of time of at least 6 months
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Panic Disorder
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Recurrent unexpected panic attacks; followed by a period of one month or more which makes patients have problems related to the attack such as worry, anxiety and avoidance
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Systematic Desensitization
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Purpose of treating anxiety disorders, especially phobias
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Situational Exposure
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Repeatedly confronting previously avoided situations
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Interceptive Exposure
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Actions that induce the physical sensations that occur in the actual panic attacks
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Medication (Anxiety)
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Most frequently used types of minor tranquilizers
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Benzodiazepines
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Reduce vigilance and somatic symptoms; less effective for worry and rumination; effective for GAD and social phobias; but not for specific phobias
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Obsessive-Compulsive Disorder
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Recognition that the obsessions and compulsions are excessive and reasonable; ignores suppress or neutralize the unwanted thoughts or impulses
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Obsessions
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Repetitive, unwarranted intrusive cognitive events in the form of thoughts, images or urges and involve something socially unacceptable or horrific
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Compulsions
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Repetitive behaviors or mental acts done to reduce energy
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Response-Prevention
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Uses prolonged exposure to the situation that increases a persons anxiety while preventing a compulsive response; most effective treatment
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Dissociation
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Disruption of the normally integrated mental processes involved in memory, consciousness, identity or perception
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Traumatic Stress
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Involves actually or threatened death or serious injury to self or others and creates intense feelings of fear, helplessness or horror
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Post-traumatic Stress Disorder
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Re-experiencing avoidance and arousal; PTSD is either long lasting or has a delayed onset
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Dissociative Symptoms
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Feeling daze, out of touch with reality, not integrating an experience or set of experiences
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Treatment for PTSD
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- Group counseling/individual counseling - (CISD) Critical Incident Stress Debriefing: 1-5hrs group meetings; share personal experiences
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Dissociative Identity Disorder
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Hypothesized to be related to past trauma (Chronic, physical and sexual abuse)
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Depersonalization/derealization disorder
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Persistent and severe feelings of being detached from one self or social/physical environment
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Treatment for Dissociative Disorders
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Involves uncovering and expressing past traumas
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Somatic Symptoms Disorder
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At least one severe somatic symptom complaint accompanied by excessive sorry about symptoms
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Conversion Disorder
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Psychological conflicts are converted into physical symptoms, often mimicking those found in neurological diseases or disorders (ex. hysterical blindness)
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Illness Anxiety Disorder
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Persistent, intense and disturbing fear or belief that one is suffering from a physical illness
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Body Dysmorphic Disorder
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Preoccupation with an imaged defect in a physical appearance; focuses on facial features such as nose and mouth
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Malingering
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Pretending to have a disorder to achieve a tangible benefit
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Factitious Disorder imposed on self
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Occurs as an individual imposes deceptive practices designed to produce signs of illness on self
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Factitious Disorder imposed on other
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Occurs as an individual produces physical symptoms on another (normally mother imposing on child)
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Treatment of somatic symptom disorders
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- Operant approaches to chronic pain - Cognitive Behavioral Therapy
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Stress
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Any challenging event that requires physiological, cognitive, or behavioral adaptation
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Fight or Flight
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A maladaptive reaction to much stress in the modern world
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Tend or Befriend
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Response to threat
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Problem Focused Coping
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Involves attempt to alter internal distress
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Emotion Focused Coping
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Attempt to alter internal distress
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Health Behavior
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Any action that promotes good health
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Illness Behavior
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Increased stress is correlated with such illness behaviors as more frequent visits to physicians
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Personality Disorder
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Emphasizes on the duration of the problem of the pattern and the social impairment associated with the traits
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Cluster A (Paranoid, Schizoid, Schizotypal)
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- Paranoid: inappropriate suspiciousness of others motives - Schizoid: persuasive pattern of indifference to others - Schizotypal: peculiar patterns of behavior
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Cluster B (Antisocial, Borderline, Histrionic, Narcissistic)
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- Antisocial: disregard for; or violations of others rights - Borderline: instability in mood and interpersonal relationships - Histrionic: self-centered, demanding, vain, dramatic - Narcissistic: unable to emphasize with others
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Cluster C (Avoidant, Dependent, Obsessive-Compulsive)
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- Avoidant: tendency towards social isolation, desire to be liked - Dependent: persuasive pattern of submissive and clinginess - Obsessive-complusive: set overly ambitious; unobtainable for their performance
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Treatment for Personality Disorders
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Generally ineffective; yet behavior therapy approaches can change behaviors
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Anorexia
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Starves themsleves; NEVER happy with their weight
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Bulimia
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Eating followed by vomiting, laxatives, or excessive exercise
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Binge-Eating Disorder
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Eating a greater amount of food without purging behavior
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Treatment for eating disorders
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- Bulimia: cognitive behavior therapy; reduces binge-eating and purging - Anorexia: Maudsley Method; parents take over child's eating for awhile
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Substance use
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Related to the continuous use of drugs despite the distress they cause
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Substance intoxication
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Potentially maladaptive and impairing; but reversible and associated with recent use
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Substance dependence
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Describes substance use disorders of a least moderate intensity
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Tolerance
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Nervous system becomes less sensitive to the effects of alcohol or drugs
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Withdrawal
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Symptoms experienced when a dependent person stops using drugs
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Treatment for drugs
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Detoxification
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Premature Ejaculation
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Inability to inhibit ejaculation long enough to complete sex
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Female Sexual Interest/Arousal Disorder
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Inability to achieve genital responses necessary for sex. Sexual desire is present; physiological responses are inhibited
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Gender Dysphoria
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Sense of discomfort with ones sex
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Exhibitionisitc Disorder
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Usually men exposing themselves in public and getting aroused from peoples reactions
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Voyeuristic Disorder
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Watching people engaging in sex
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Frotteurisitic Disorder
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Becoming sexually aroused by rubbing your genitals against non consenting people
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Transvestic Disorder
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Heterosexual men dressing up in women's clothes when having sexual intercourse
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Male Erectile Disorder
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Cant get it up
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Male Hypoactive Sexual Desire Disorder
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Sexual desire is the persons willingness to approach or engage in those experiences that will lead to sexual arousal
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Paraphilic Disorder
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Sexual Arousal by inappropriate behavior
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Delayed Ejaculation (Male Orgasmic Disorder)
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Characterized by a marked delay in ejaculation or inability to cum.
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Treatment for Sexual Disorders
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Masters and Johnsons: psychosocial intervention
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Sexual Masochism(submissive)/Sadism(dominant)
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Recurrent; intense sexually fantasies or impulses involving being humiliated, beaten, or made to suffer
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Schizophrenia
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Deterioration of basic functions affecting individuals thoughts and perceptions
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Positive Schizophrenia
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Hallucinations; delusional beliefs
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Negative Schizophrenia
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Little expressed emotions don't want to do anything; depression
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Cognitive Impairment
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Hard to focus and pay attention
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Disorganized Symptoms
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Verbal communication problems and bizarre behavior
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Antipsychotic Medications
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Reduce the severity of and sometimes eliminate psychotic symptoms
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Atypical Antipsychotics (side effects)
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no more negative symptom side effects
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Dopamine Hypothesis
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Focus on the function of specific dopamine pathways in the limbic area of the brain
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Therapies
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- Cognitive Behavioral Therapy: aims to improve cognitive capacities; working memory and social cognitive skills are targeted - Cognitive Enhancement Therapy: designed for patients who have recovered from active symptoms, but continue to exhibit cognitive disability-working memory - Social Skills Training: Improves social adjustments but may not reduce relapse rates - Assertive Community Training (ACT): reducing inpatient hospital days, its cost-effective - Family Oriented Aftercare: reduces relapse rates only ig available on an ongoing bias
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The Field of Positive Psychology
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Adopts a more optimistic perspective on human potential, motives and capacities
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Maslows Hierarchy of Needs
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Basic needs that have to be satisfied (top->bottom) - Need for self-actualization - Esteem needs - Belongingness and love needs - Safety needs - Physiological needs
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Self-Actualization
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Realization or fulfillment of ones talent and potentialities, especially as a drive or need present in everyone
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Humanistic Psychology
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Emphasizes the study of the whole person
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Disease Model of Mental Health
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Is the absence of mental illness
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Human resilience
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Bounce back after loss
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Connection between Money and Happiness
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Hedonic Treadmill
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Drawbacks of Positive Psychology
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Our emotions are often mixed so we have a lot of negative and positive sides
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Defensive Pessimism
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Cognitive strategy to set low expectations for upcoming performance, despite having performed well in previous similar situations
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Learned Helplessness
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A condition in which a person suffers from a sense of powerlessness arising from a traumatic event or failed to succeed
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Freuds Theory "Bad is Stronger than Good"
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Idea comes from research showing that it is only through negative life events that people develop the capacity for goodness and achieve health and happiness
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Positive Self-Statments
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Are believed to boost mood and self-esteem, yet their effectiveness has not been demonstrated
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Self-efficacy
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Ones belief in ones ability to succeed in specific situations or accomplish a task
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Hedonic Treadmill
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A well-cited study showing that people who had befallen great fortune (lottery winners) or great tragedy (recent paraplegics) find happiness
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Happiness
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Feeling pleasurable or contentment
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Intellectual Disorders
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IQ of 70 or below; limitations in adaptive behavior
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Intellectual Disorder Causes
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- Down Syndrome: extra chromosome occurs 1 in 100 after the age 40 - PKU (Phenylketonuria): recessive gene pairing which occurs 1 out of 15,000 births - Fragile X syndrome: weakening or break on one arm of the "x" chromosome occurs 1 out of 4000 males/ 1 out of 6000 females - Fetal Alcohol Syndom: can produce mild intellectual disability and physical abnormalities
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Amniocentesis
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Used prenatally to identify syndromes associated with intellectual disability
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IQ scores (mean/standard deviation)
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- Mean: 100 - Standard Deviation: 15
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Heritability ration- reaction range
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GENETICS determine the range of INTELLIGENCE and that ENVIRONMENT determines where in that range and INDIVIDUAL FALLS
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Normalization
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Facilitating integration into social activities
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Normal Distribution
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Traits are distributed throughout a population
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Mainstreaming
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Keeping children in regular classrooms when possible and keeping them out of institutional care
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Primary, Secondary and Tertiary Prevention
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- Primary: good prenatal care and nutrition - Secondary: early social and educational intervention programs - Tertiary: early detection and promotion of good parent-child relationships
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Cultural-Familial Retardation
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Term used for intellectual disabilities of unknown etiology
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Stimulating and Responsive Environment
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Required to promote childrens intellectual and social skills throughout their development
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Two Curve Model of Intellectual Disability
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Includes the normal distribution of IQ scores as well as the distribution of IQs of people with biological disorders that cause intellectual disability
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Neurodevelopment Disorder
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Impairments of the brain and central nervous system
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Applied Behavioral Analysis
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Effective when paired with control groups with no retirement
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Medication for Autism
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Drugs; Antipsychotics to pirate agnostics
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Aversive Procedures
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Address behaviors exhibited by students with disabilities
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Risperidone Therapy
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Helps with behavior management; toxic to system
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Parental Age
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The age of the parents when they conceive a child
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Stereotypes Behaviors
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Mechanical repetition of speech or movement
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Abnormal Reaction to Sensation
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Difficulty integrating information from the senses
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Sensory Deficits
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Respond to auditory, tactile, or visual sensation in a highly unusual manner
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Repeated Self- injury
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Constantly harming yourself
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Theory of Mind-Sally-Anne Test
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Developmental psychology to measure a persons social cognitive ability to attribute false beliefs to others
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Externalizing Disorders (most commonly diagnosed childhood disorder)
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Failure to control behavior according to the expectations of others
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ADHD diagnosed in early elementary school
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At least some symptoms are presented before age 12
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ADHD executive function issues
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Tendency to act before thinking
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Oppositional Defiant Disorder
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Patterns of hostile, negativistic, and defiant behavior
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Conduct Disorder
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Defined by a pattern of behavior that is illegal and antisocial
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Causes of Externalizing and Internalizing Disorders
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- Externalizing: genetics and ADHD, negative attention, low self-esteem - Internalizing: genetics, focus on attachments, separation and loss
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Four Styles of Parenting
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- Authoritative: loving with firm discipline (most effective) - Authoritarian: lacks warmth; harsh discipline (kids complain but most anxious) - Indulgent: affectionate; weak discipline (impulsivity and noncompliance) - Neglect: unconcerned with emotional or discipline needs (serious conduct problems)
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Goodness-of-fit
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Between temperament and environ
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Behavioral Family Therapy
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Teaches parents to be very clear and specific about their expectations for childrens behavior; to monitor childrens actions closely, while rewarding positive behavior and ignoring/mildy punishing misbehavior
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Multisystemic Therapy (MST)
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Combining family treatment with interactions in childs peer groups, school, and neighborhood appears to be effective
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Internalizing Disorders
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Involves the childs internal world and are associated with subjective distress (ex. anxiety and sadness)
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Separation Anxiety Disorder
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Excessive seperation fears that persist for at least 4 weeks
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Peer Sociometric Technique
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Access relationship by asking children to indicate their level of liking for their peers, and children are classified according to their peers reports
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Disruptive Mood Regulation Disorder
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Childhood condition of extreme irritability, anger, and frequent intense temper outbursts
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Bipolar Disorder-Temper Dysregulation Disorder
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Persuasive irritable and/or sad mood and recurrent, severe anger outburst, both need to be consistently present for at least 1 year
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Tourettes Disorder
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Repeated motor and vocal tics that persist for at least 1 year
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Stereotypic Movement Disorder
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Repetitive, hard to control, aimless motor actively interrupts everyday life or causes self-infliction of a child
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Selective Mutism
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Consistent failure to speak in a certain social situation
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Developmental Coordination Disorder
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Slowness and inaccuracy of performance of motor skills
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Reactive Attachment Disorder
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Characterized by withdrawn behavior among very young children around adult givers
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Disinhibited Social Engagement Disorder
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Very young children are indiscriminate towards caregivers`
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Enuresis
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Voiding of urine into ones clothing or bedding
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Encopresis
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Repeated elimination of feces on or into inappropriate places such as the floor or clothing
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Bell and Pad/Enuresis Pad
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Created by: Mower created a device with wires in it that are placed in the bedding on the bed and once the wires are wet from enuresis, it alarms the bell which is next to the kids head
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Suicide in Children
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Tend to be impulsive, related to family conflicts and often motivated by anger
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Treatment of internalizing Disorders
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- Fluoxetine alone - Cognitive Behavioral Therapy (CBT) - Combined medication with CBT - Placebo
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Antidepressants
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Substance either natural or man-made, that is used to treat certain mental disorders, among depression, anxiety, OCD, and many others
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Dyslexia
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Reading disorder
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Dyscalculia
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Math disorder
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Dysgraphia
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Writing disorder
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