Psych Quiz 3

• psychological factors contribute to the initiation or the exacerbation of a physical condition
• e.g. cancer, asthma, coronary artery disease

emotions

• difficulty forming words
• loss of language ability

sudden severe confusion, includes a decreased level of consciousness with intermittent hypervigilance

appetite regulation

• echolalia: repeated once
• palalilalia: continuous repetition

• loss of ability to carry out learned, purposeful movements
• no motor or sensory impairment

persistent adherence to a single idea and verbal repetition of a sentence or phrase

unconscious attempt to maintain self-esteem, makes up things that you forget

loss of ability to recognize objects, persons, sounds, shapes or smells

• memory and:
• aphasia, apraxia, agnosia, or executive function

• disturbance in memory due to physiological effects of general medical condition or persisting effects of medication
• (just memory, not other cognitive deficits)

connection between the mind and body

• multiple physical complaints with no organic basis
• proposed by Freud - unexpressed emotions can result in physical symptoms

transference of mental state into body symptom(s)

• multiple physical symptoms
• combination of pain, GI, sexual, pseudoneurologic symptoms
• involuntary

• unexplained sensory or motor deficits associated with psychological factors
• "la belle indifference" - no concerns about deficit
• involuntary

• pain unrelieved by analgesics
• psychological factors influencing onset, severity, exacerbation, maintenance
• involuntary

• disease conviction or disease phobia
• involuntary

• Preoccupation with imagined or exaggerated defect in physical appearance
• involuntary

• intentional false or grossly exaggerated symptoms
• external incentives as motivation
• voluntary

• intentional symptoms to gain attention
• Munchausen syndrom by proxy - intentionally making your child sick
• voluntary

diagnosed when the client meets psychotic symptoms criteria of schizophrenia and criteria for a major affective or mood disorder

• treat with antipsychotics (dopamine or serotonin antagonists)
• atypical:
• clozapine (Clozaril)
• quetiapine (Seroquel)
• risperidone (Risperdal)
• zipreasidone (Geodon)
• olanzapine (Zyprexa)
• aripiprazole (Abilify)

distorted and bizarre thoughts, perceptions, emotions, movements, behavior

• delusions
• hallucinations
• grossly disorganized thinking, speech and behavior
• (decrease in temporal lobe functioning)

• Affect
• Associative looseness
• Autism
• Ambivalence

• flat affect
• lack of volition (will, choosing, resolving)
• social withdrawal or discomfort
• (decrease in frontal lobe functioning)

• persecutory or grandiose delusions, hallucinations
• occasionally excessive religiosity or hostile/aggressive behavior

grossly inappropriate or flat affect, incoherence, loose associations, and extremely disorganized behavior

• psychomotor disturbance
• motionless (waxy flexibility) or excessive motor activity (purposeless)
• extreme negativism, mutism, peculiarities of voluntary movement, echolalia, echopraxia

• schizophrenia symptoms of mixed types
• disturbed thought, affect, and behavior

• a least one previous, past schizophrenic episode
• social withdrawal
• flat affect
• looseness of association

exhibits symptoms of schizophrenia, but for less than the 6 months necessary for the diagnosis of schizophrenia

• one or more nonbizarre delusions - they are believable
• behavior is not obviously odd or bizarre

• sudden onset of at least one psychotic symptom that lasts from 1 day to 1 month
• can be delusion, hallucination, disorganized speech, disorganized behavior

• two people share a similar delusion
• client has a close relationship with someone who has psychotic delusions

• early-appearing, reversable side effect of antipsychotics
• acute dystonic reaction: muscle spasms, abnormal posture
• akathisia: inner restlessness
• Parkinsonism: shuffling gait, tremor, stiffness, drooling
• give diphenhydramine (Benadryl) or benztropine (Cogentin)

• late-appearing side effect of antipsychotics
• abnormal mouth/tongue movements
• choreiform (jerky) movements of limbs
• use AIMS scale to evaluate

• muscle rigidity
• high fever
• increased enzymes (creatine phosphokinase)
• leukocytosis

• extrapyramidal side effects
• tardive dyskinesia
• seizures
• neuroleptic malignant syndrome
• agranulocytosis - <WBCs (caused by Clozapine)
• sunburn, weight gain, orthostatic hypotension
• anticholinergic symptoms (dry mouth, blurred vision, constipation, urinary retention)

inability to experience pleasurable emotion

• traits become inflexible and maladaptive
• cause significant functional impairment or subjective stress
• long standing, not responsive to psychotherapy or pharmacology

Behaviors are odd or eccentric

• Paranoid Personality Disorder
• Schizoid Personality Disorder
• Schizotypal Personality Disorder

Behaviors are dramatic, emotional, or erratic

• Antisocial Personality Disorder
• Borderline Personality Disorder
• Histrionic Personality Disorder
• Narcissistic Personality Disorder

Behaviors are anxious or fearful

• Avoidant Personality Disorder
• Dependent Personality Disorder
• Obsessive-compulsive Personality Disorder
• Passive-aggressive Disorder

• mistrust and suspicion of others
• others' motives are interpreted as malevolent
• hypervigilent, tense, oversensitive, irritable, can become violent, guarded, restricted affect
• Cluster A

• detached from social relationships
• cognitive or perceptual distortions and eccentricities of behavior
• cold, aloof, indifferent, serious, shy, anxious, restricted affect, involved with things more than people
• Cluster A

• behavior is odd, eccentric, discomfort in relationships
• cognitive or perceptual distortions
• does not decompensate to the level of schizophrenia
• aloof, isolated, bland, apathetic, magical thinking, bizarre speech pattern, short-term psychosis under stress
• Cluster A

• pattern of disregard for and violation of the rights of others, rules, and laws
• aggression, destruction, callous, irresponsible
• Cluster B

• unstable relationships, self-image, affect, and marked impulsivity
• unstable affect, identity disturbance, unstable relationships, splitting, manipulation, SIB, impulsive
• Cluster B

• excessive emotionality and attention seeking
• dramatic, extroverted, excitable, emotional, require constant affirmation and acceptance, gregarious, seductive, manipulative, exhibitionist, distractable
• Cluster B

• grandiose, need for admiration, lack of empathy
• hypersensitive to evaluation by others, entitled, exploits others, carefree
• Cluster B

• social inhibitions, feelings of inadequacy, hypersensitive to negative evaluation
• views self as socially inept
• extreme shyness, awkward, uncomfortable, lonely, depressed
• Cluster C

• submissive, clings to others
• lacks self-confidence, passive, avoids responsiblity, excessive need to be taken care of
• Cluster C

• orderliness, rigidity, perfectionism, control
• not many obsessions and compulstions
• inflexibly, lacks spontaneity, polite, formal
• Cluster C

an excessive demonstration of or obsession with religious ideas and behavior

purposely imitating movements made by others