Adult Psychopathology 2 Final

  1. Ego dystonic vs. ego syntonic
    • Dystonic is uncomfortable with the self as seen with OCD
    • syntonic is comfortable with the self as seen with personality disorders
  2. primary gain vs. secondary gain
    • primary is physical symptoms that prevent deal with emotional issues
    • secondary is the attention gained reinforces the symptoms
  3. Ego functions as they relate to personality: Reality testing
    best tool to see if someone is psychotic
  4. Ego functions as they relate to personality: impulse control
    • seen in the dramatic/erratic personality disorders and explosive disorder
    • goes along with judgment
  5. Ego functions as they relate to personality: object relations
    seen in dramatic/erratic personality disorders
  6. State vs. Trait
    • State is a time limited status
    • trait is persistent across time and situation
  7. Emotional reasoning
    • feelings are facts, I feel therefore it is true
    • seen in personality disorders
  8. Idioms of Distress
    • cultural expression of distress
    • different cultures express things in different ways
  9. Sleep apnea vs. hypopnea
    • apnea is when breathing stops
    • hypopnea is shallow breathing
  10. define cataplexy
    Sudden muscle failure as seen with narcolepsy
  11. type 1 vs type 2 narcissism
    • type 1 is the basic need for admiration as described in the DSM
    • type 2 is a need for admiration by way of self-sacrifice or giving to others
  12. Define malingering
    False presentation for a targetable gain
  13. Disorder and Symptoms: intermittent explosive disorder
    • Pressure build to act out
    • action releases this pressure build up
  14. Disorder and Symptoms: Kleptomania
    • A sudden urge to take something that is not needed
    • most have a mood disorder
    • behavior is usually prompted
  15. Domestic violence: Cycle of violence
    • tension building
    • acute battering incident 
    • loving contrition
  16. Domestic violence: characteristics of batterer
    • low self-esteem
    • fear of intimacy but dependent
    • power/control needs
    • anger/hostility
    • depression
    • low stress tolerance
    • defensive
    • denial/minimization/justification
    • violence in family of origin
    • substance abuse
    • un or under employed
    • child abuse
    • poor communication
    • negative attitudes towards women 
    • possessive,suspicious/jealous
  17. Domestic violence: characteristics of battered women
    • does not deserve to be abused or beaten
    • conflicting emotions
    • isolated, submissive, feels powerless
    • trapped and frightened
    • needs information
    • may have been abused as a child
  18. Hanks typology of couples: type 1
    type 1: acute, situationally reactive violence to partner only.

    • man feels guilt and is alarmed at loss of control
    • woman has appropriate outrage, expresses intolerance, will leave relationship if necessary

    therapy is effective
  19. Define hypersomnolence disorder
    excessive sleep but still tired
  20. Define narcolepsy
    • uncontrollable urge to fall asleep
    • has cataplexy
  21. Define circadian rhythm sleep wake disorder
    basically jet lag or a sudden change in sleeping patterns
  22. Define non-rapid eye movement sleep disorder
    basically sleepwalking
  23. Define rapid eye movement sleep behavior disorder
    • acting out while sleeping
    • hitting, kicking, flailing, etc...
  24. Define nightmare disorder
    • vivid dreams dealing with life threatening situations
    • dreams are clearly remembered
    • awake very aroused and vigilant
    • could be PTSD
  25. Stages of sleep
    • NREM 1: between sleep and wakefulness
    • NREM 2: theta wave activity, more difficult to awaken sleeper
    • NREM 3: delta wave (slow wave) sleep, sleeper is less responsive to the environment
    • REM:  aka paradoxical sleep, very active, lack of REM --> harder to learn complex tasks
  26. Somatic Symptom Disorder
    • Disproportionate worry about the seriousness of one's symptoms
    • high level of anxiety
  27. Illness Anxiety Disorder
    • preoccupation with having/acquiring a serious illness
    • somatic symptoms not present
  28. Conversion Disorder
    • physical symptoms to emotional trauma 
    • la belle indifference 
    • primary and secondary gain
  29. psychological factors affecting other medical conditions
    example:  depression with diabetes
  30. Factitious Disorder
    • make themselves ill for attention 
    • the need to be a patient
  31. What are other conditions that may be a focus of clinical attention?
    • These are not disorders
    • these conditions can affect treatment 
    • these are Z codes 
    • used in addition to diagnosis
  32. What are the odd and eccentric personality disorders?
    • Schizoid PD
    • paranoid PD
    • schizotypal PD
    • these are the closest to being psychotic
  33. What are the dramatic, erratic, and over-emotional personality disorders?
    • Anti-social PD
    • borderline PD
    • Histrionic PD
    • Narcissistic PD
  34. What are the anxious and fearful personality disorders?
    • obsessive compulsive PD
    • Avoidant PD
    • Dependent PD
  35. Schizoid Personality Disorder
    • detachment from social relationships and restricted expression of emotion
    • negative symptoms
  36. Paranoid Personality Disorder
    • Distrust and suspiciousness of others
    • not usually delusional
  37. Schizotypal Personality Disorder
    • eccentric behavior
    • pattern of social and interpersonal deficits
    • reduced capacity for close relationships
    • positive symptoms
  38. Anti-Social Personality Disorder
    • pattern of disregard and violation of the rights of others
    • poor impulse control
    • aggressive
    • lack of remorse or guilt
  39. Borderline Personality Disorder
    • Unstable relationships, self image, and affect
    • impulsive 
    • dysregulation of emotions
    • hot anger
  40. Narcissistic Personality Disorder
    • grandiosity
    • need for admiration
    • lack of empathy
    • cold anger/get even
  41. Histrionic Personality Disorder
    • excessive emotionality and attention-seeking 
    • seductive
    • shallow emotions
    • cold anger/get even
  42. Avoidant  Personality Disorder
    • Social inhibition 
    • feelings of inadequacy 
    • hypersensitive to negative evaluation/rejection
  43. Dependent Personality Disorder
    • excessive need to be taken care of
    • leads to submissive behavior 
    • clinging behavior
    • fear of separation
  44. Obsessive-Compulsive Personality Disorder
    • preoccupation with orderliness
    • perfectionism
    • mental and interpersonal control at the expense of flexibility, openness and efficiency
  45. sociocentric vs. egocentric characteristics
    • sociocentric: identity is centered in the group or extended family. Person's interest are suppressed and strict rules on interdependence. Outside the group membership is not favorable
    • egocentric:  identity is focused on the self.  Perceive oneself as autonomous, and dependence is unfavorable. terminate relationships at will
  46. Dominance hierarchies
    • primary role identification
    • stigma 
    • typical in industrial societies 
    • can be based on class, race, age, gender, etc...
    • allows for systems of discrimination
  47. What are the adaptations to stigma?
    • Internalization (acceptance of status): apt to view environment as hostile
    • Passing: hiding the stigma
    • Copy dominant group: more apt to focus on rules 
    • Superlative effort:  being better than the average stigmatized group
    • violence/resistance: may look anti-social
    • violence against the self:  could be comorbid with internalization
  48. Psychological defense for narcissistic
    • idealization/devaluation
    • projection
    • idnetification
  49. Psychological defense for Anti-social
    • controlling
    • projective identification
    • acting out
    • denial 
    • manipulation
    • emotional isolation
  50. Psychological defense for Borderline
    • splitting
    • denial
    • disortion
  51. Psychological defense for Histrionic
    • repression
    • regression
    • dissociation
    • somatization
  52. Psychological defense for Schizoid
    • fantasy
    • intellectualization 
    • projection
  53. Psychological defense for Paranoid
    • Denial 
    • splitting
    • reaction formation
  54. Psychological defense for schizotypal
    • projection
    • denial
    • distortion
    • splitting
  55. Psychological defense for Avoidant
    • Repression
    • inhibition
    • isolation
  56. Psychological defense for Dependent
    • idealization
    • reaction formation
    • projective identification
    • regression
  57. Psychological defense for Obsessive-Compulsive PD
    • isolation of affect
    • undoing
    • displacement
  58. Alternative personality disorders model criterion A
    • level of functioning with 2 categories
    • self: identity and self-direction
    • interpersonal (others): empathy and intimacy
  59. Alternative personality disorders model criterion B
    Pathological trait domains

    • negative effect
    • detachment
    • antagonism
    • disinhibition
    • psychoticism
  60. What is the difference between the ICD and the ICF?
    • ICD = diagnostic nomeclature (whats wrong)
    • ICF = specific functional impairment associated with disorders (how bad is it?)
  61. What is the purpose of the WHODAS 2.0?
    • identifies difficulties due to health/mental health within the past month
    • measures general areas of impairment
    • designed to help with treatment planning
  62. What areas of functioning does the WHODAS assess?
    • understanding and communication
    • getting around
    • self-care
    • getting along with people
    • life activities-household
    • life activities-school/work
    • participation in society
  63. Hanks typology of couples: type 2
    cyclical violent affective storms to partner and family 

    • man - violence is egosyntonic, accepts limited responsibility, temporary remorse instead of true guilt, violence is chronic and occurs in cycles
    • woman- not as much outrage, stays attached to relationship

    treatment can be effective if man commits to anger management and woman commits to safety
  64. Hanks typology of couples: types 3 and 4
    treatment is not recommended and is not effective
  65. general issues surrounding treatment issues re: sexual dysfunction
    • most studies are on male dysfunction
    • sex therapy is hard to find
  66. pharmacotherapy vs. psychotherapy re: sexual dysfunction
    • medication usually does not address problem
    • pharmacological interventions can change sexual script 
    • pharmacological interventions may also surface unconventional
    • issues 
    • psychological issues interfere with efficacy of meds
Card Set
Adult Psychopathology 2 Final
Adult Psychopathology 2 Final