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Flashcards based on lecture notes covering personality disorders, eating disorders, substance use disorders, psychotic disorders, and general psychology concepts.
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Definition of a Personality Disorder
Enduring pattern of inner experience and behavior that deviates markedly from cultural expectations, is pervasive and inflexible, has onset in adolescence or early adulthood, is stable, and leads to distress or impairment.
Classifications of Personality Disorders
Categorical, Level of Impairment, Dimensional
Clusters of Personality Disorders
Cluster A: Odd or Eccentric; Cluster B: Dramatic, Emotional, or Erratic; Cluster C: Anxious or Fearful
Disorders in Cluster A
Paranoid, Schizoid, Schizotypal
Disorders in Cluster B
Antisocial, Borderline, Histrionic, Narcissistic
Disorders in Cluster C
Avoidant, Dependent, Obsessive-Compulsive
Personality disorder more often diagnosed in males
Antisocial
Personality disorder more often diagnosed in females
Histrionic
Symptoms of Paranoid Personality Disorder
Pervasive distrust and suspiciousness of others, interpreting motives as malevolent.
Symptoms of Schizoid Personality Disorder
Pervasive pattern of detachment from social relationships and a limited range of emotions.
Symptoms of Schizotypal Personality Disorder
Odd and unusual behavior, socially isolated, suspicious, with magical thinking and illusions.
Symptoms of Antisocial Personality Disorder
Failure to comply with social norms, violation of the rights of others, lack of empathy or remorse.
Neurobiological Theories of Antisocial Personality Disorder
Underarousal, Cortical Immaturity, Fearlessness, Gray’s Model
Treatment for Antisocial Personality Disorder
Prevention and rehabilitation focusing on practical or selfish consequences.
Symptoms of Borderline Personality Disorder
Unstable mood, relationships, impulsivity, fear of abandonment, poor self-image, self-mutilation, and suicidal gestures.
Treatment for Borderline Personality Disorder
Dialectical Behavior Therapy (DBT)
Symptoms of Histrionic Personality Disorder
Overly dramatic, sensational, sexually provocative, impulsive, and needs to be the center of attention.
Symptoms of Narcissistic Personality Disorder
Exaggerated sense of self-importance, preoccupation with attention, lack of sensitivity and compassion.
Symptoms of Avoidant Personality Disorder
Extreme sensitivity to opinions of others, avoidance of interpersonal relationships, low self-esteem.
Symptoms of Dependent Personality Disorder
Reliance on others to make decisions, fear of abandonment, clingy and submissive relationships.
Symptoms of Obsessive-Compulsive Personality Disorder
Excessive fixation on doing things the right way, perfectionist, orderly, and emotionally shallow.
OCPD
A pervasive need to do things a certain way, driven by inflexibility rather than anxiety.
OCD
Intrusive unwanted thoughts causing anxiety and repetitive behaviors to neutralize the obsession.
Eating Disorder Myths
You can tell if someone has an eating disorder based on their weight alone; Men don’t get eating disorders; Eating disorders are caused by the media
Main Components of Binge Eating
Eating excess amounts of food in a discrete period of time with perceived lack of control.
Diagnostic Criteria for Bulimia Nervosa
Binge eating and inappropriate compensatory behaviors at least once a week for 3 months, self-evaluation excessively influenced by body shape/weight.
Medical Consequences of Bulimia Nervosa
Erosion of dental enamel, electrolyte imbalance, kidney failure, cardiac arrhythmia, seizures, intestinal problems.
Diagnostic Criteria for Anorexia Nervosa
Restriction of energy intake leading to low body weight, intense fear of gaining weight, distorted body image.
Subtypes of Anorexia Nervosa
Restricting and Binge-eating/Purging
Minnesota Semi-Starvation Studies Findings
Starvation state associated with depression, irritability, low motivation, preoccupation with food, and unusual eating behaviors.
Media and Cultural Considerations for Eating Disorders
Thinness linked to success, happiness, cultural emphasis on dieting, standards of ideal body size.
Psychological and Behavioral Considerations for Eating Disorders
Low sense of personal control, perfectionist attitudes, distorted body image, preoccupation with food, mood intolerance.
Diagnostic Criteria for Binge Eating Disorder
Recurrent episodes of binge eating associated with distress, without inappropriate compensatory behaviors.
Psychological Treatments for Binge Eating Disorder
CBT-E, IPT, Self-help techniques, SSRIs
Main Categories of Substances
Depressants, Opiates/Opioids, Hallucinogens, Stimulants
Substance Use Disorder Symptoms
Impaired control, social impairment, risky use, pharmacological criteria (tolerance and withdrawal).
Impaired Control (Substance Use Disorder)
Taking more of the substance than intended, desire to cut down use, excessive time spent using, craving.
Pharmacological Criteria for Substance Use Disorder
Tolerance and withdrawal.
Tolerance
Need more of the substance to achieve desired effect.
Withdrawal
Unpleasant symptoms after stopping/reducing use.
Effects of Alcohol
Central nervous system depressant influencing GABA neurotransmitter systems.
Psychological Contributors to Substance Use Disorders
Positive and negative reinforcement, coping with negative affect, cognitive factors (expectancy effects), cravings.
Evidence-Based Treatments for Substance Use Disorders
Motivational enhancement therapy, contingency management, CBT for SUD, community support programs.
Definition of Psychosis
Large departure from reality.
Hallucinations
Sensory experiences in the absence of sensory input.
Delusions
Strong, inaccurate beliefs that persist despite evidence to the contrary.
Definition of Schizophrenia
Disturbed thought, emotion, and behavior.
Positive Symptoms of Schizophrenia
Active manifestations of abnormal behavior: delusions and hallucinations.
Negative Symptoms of Schizophrenia
Absence or insufficiency of normal behavior: avolition, alogia, anhedonia, affective flattening.
Disorganized Symptoms of Schizophrenia
Confused or abnormal speech, behavior, and emotion.
Causes of Schizophrenia
Genetic, neurobiological, social influences.
Dopamine Hypothesis
Overactive dopamine.
Treatment for Schizophrenia
Antipsychotic (neuroleptic) medications, psychosocial approaches.
Week 1 Synopsis
Humanistic Therapy contrasted with Freud; Humans strive towards reaching one’s full potential
Week 2 Synopsis
Fear, Anxiety, Panic
Fear
Immediate, present-oriented
Anxiety
Future-oriented
Panic
Sudden
Anxiety Cycle
Situation -> Anxiety -> Avoidance -> Temporary relief
Agoraphobia
Fear or avoidance of situations/events due to worries about having a panic attack
Agoraphobia treatment options
Benzodiazepines, SSRIs, PCT, CBT
OCD Causes
Runs in families, earlier life experiences
OCD Treatments
SSRIs, CBT, ERP
Body Dysmorphic Disorder Causes
Runs in families
Body Dysmorphic Disorder Treatments
CBT, SSRIs