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Syndrome
Clinically significant behavioral, cognitive or emotional disturbances that reflect dysfunction in underlying in underlying psychological processes
Abnormality or psychopathology is viewed as
Interfering with adaptation
Psychopathology
Hinders or prevents the young person from negotiating developmental tasks
Developmental standards
Age is always important in judging behavior
Developmental norms
describes the typical rates of growth, language, cognition., emotion, and social behavior
Behavioral indicators of a disorder
Developmental delay
Developmental regression or deterioration
Extremely low or high intensity/frequency of behavior
Behavioral difficulties persisting over time
Culture
encompasses the idea that groups of people are organized in specific ways
Cultural analysis
describes the many ways in which culture shapes normal vs. abnormal behavior
Ethnicity
denotes values, traits, and language from a national origin or geographic area
Identification of problems in youth
Abnormailty
Changes in views
role of adults
developmental
cultural
gender
situational
What disorders are higher in males
Autism
oppositional disorder
drug abuse
ADHD
intellectual disability
conduct disorder
language disorder
reading disability
What disorders are higher in females
Anxieties and fears
depression
eating disorders
Clinical psychology
Study of etiology, assessment, diagnosis, prognosis, and treatment with behavior disorders
Child psychopathology is what kind of practice
Multidisciplinary
Psychopathology has been dominated by what kind of approach
deterministic
The relationship between normal and atypical development
The need to understand what is normal
reciprocally informative
How (category vs. continuum)
Disordered behavior is dynamic
Children do not have a consistent level of functioning
Tertogens
Harmful substances
What are tertagens associated with
malformations, low birth weight, fetal death, and functional behavioral impairment
Fetal Alcohol Syndrome is characterized by what
abnormal brain development, retarded growth, birth defects, neurological issues
Operant learning
recognizing that a positive consequence of a behavior will strengthen the behavior
Observational learning
Individuals change due to experience
Cognitive-behavioral perspective
maintained by the interaction of internal cognitions and emotions with external environmental events
Factors contributing to maltreatment
characteristics of the abuser
characteristics of a child
parenting practices
parent-child interactional processes
social/cultural influences
Optimal adjustment model
A behavior is considered pathological, it is a health or adjustment hazardous to anyone around
Ideal adjustment model
any behavior that covers actuality and practicality
What conceptualizes child psychopathology
Behavioral axcess and deficit
Research methods in child psychopathology
description
prediction
control (prevention)
understanding
Peer parent
Provides social support, links parents to resources and advocate for parents
Parent advocate
An effort is made to promote the needs of their children, especially in educational settings
Epidemiology
The study of prevalence, incidence, and occurrence of disorders and competencies
Prevalence
number or percentage of cases of a disorder in a population at any specific time
Incidence
number or percentage of new cases that have appeared in a population
Psychopathology in adults
1 in 5 American adults meet the criteria for a disorder at any given time
15 percent may be unhappy but not undiagnosable
Children and psychopathology
Hard to get a good estimate
1 in 10 meet criteria for specific disorders
Issues in recording research of children
Parents and teacher expectations
Development
change in structure and function that occurs over time in living organisms
Areas of interest in development
Genetics
physical and motor
cognitive
emotional
social
Influences of development
normative vs. nonnormative
necessary vs sufficient
direct vs. indirect influences
timing
Etiology
The cause or origin of a disease or behavior disorder
Equifinality
multiple pathways lead to the same outcome
Multifinality
The same component can lead to multiple outcomes
Assessments
Any information used to gather information about people
Main settings of assessment
clinical
educational
health
Assessment process
Always include the child
informed consent and confidentiality
Must evaluate from a developmental perspective
Start with referral questions
Bipolar disorder is considered to be more severe than depressive disorder due to
High rates of comorbidity with other disorders
often more enduring in terms of lifelong persistence
Strongest links to family history and genetics
Major depressive episode symptoms
low positive affect (irritability in children)
loss of interest or pleasure
emotional, vegetative, behavioral or cognitive issues
Major depressive episode criteria
Children can be diagnosed if symptoms persist for a year, for adults, they have to persist for at least two years
Depression in toddlers and preschool children
anhedonia, sadness, irritability
It can be diagnosed in children at the youngest age of 3
loss of appetite, lack of sleep
delays in developmental milestones
nightmares, night terrors
excessive head banging, rocking
Depression in childhood
based on environmental factors
family conflict, problematic parenting, peer rejection
Somatic complaints, irritability, social withdrawal,
low self-esteem, self-critical, poor academic achievements, poor social relationships
Acting out, withdrawal, low frustration tolerance
Depression in adolescence
A higher rate of the melancholic subtype
A higher rate of suicide attempts and fatalities
psychomotor retardation/hypersomnia and delusions
Etiology and depression
Family history
parenting style
neurotransmitter functions
disruptive mood dysregulation disorder
characterized by frequent and severe temper outbursts across multiple settings, and it is accompanied by persistent negative mood states
Characteristics of a manic episode
heightened sense of self-esteem or grandiosity
little need for sleep
pressured sleep
flight of ideas
distractibility
excessive involvement in risky behaviors
heightened goal-directed activity
To be diagnosed with manic episodes, how many symptoms must be in action
At least three of the seven symptoms
Symptoms of bipolar in children
rapid mood shifts between elation and irritability
problems with sleep
dangerous risk-taking behaviors
grandiosity, inflated self-esteem
pressured sleep, flight of ideas
What criteria does ADHD and mania share
decreased need for sleep
excessive talking
distractibility, irritability
Suicidal ideation
feelings of depression, anger, hopelessness, anxiety, and worthlessness
Risk factors for youth suicide
substance abuse
aggressive or disruptive behaviors
depression
Strongest predictors of a future suicide attempt
prior suicide attempt
substance or alcohol abuse
evidence of a mood disorder
life stressor
Common life stressors for suicide attempts
loss of a relationship, teen pregnancy, physical or sexual abuse, trouble with school, or law, conflict with parents, exposure to suicide, recent move
suicide prevention factors
academic achievement
connectedness to family
grade point average (males)
emotional well being (females)
Euphoria
a state of intense excitement and happiness
Bipolar depression
characterized by persistent low mood, inabilty to experience pleasure without any history of manic episodes
Beck’s negative triad
a cognitive model proposing that depression stems from a cycle of negative thinking about the self, the world, and the future
anhedonia
reduced ability to experience joy
iatrogenic effects
adverse or harmful consequences that arise as a result of medical treatment
What are the three levels of intervention
Primary, secondary, tertiary
Primary
Prevention of problems or illness
promotion of optimum well being
Secondary
detect problem early and reverse it
Tertiary
Treatment of established disease or problem
Reestablish health
manage condition
Bibliotherapy
books to help treat
Types of psychotherapy
Individual, play, group, marital/family, parenting training
Dysphoria
negative mood state characterized as sadness
Euthymia
“normal” mood