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antisocial personality disorder
persons tend to have long histories of failing to comply with social norms, violating the rights of others, and engaging in behavior that most persons would find unacceptable andtend to be irresponsible, impulsive, and deceitful, lack a conscience and empathy, and selfishly take what they want and do as they please without guilt, regret, or remorse.
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avoidant personality disorder
persons are extremely sensitive to the opinions of others and therefore avoid most relationships
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borderline personality disorder
persons lead tumultuous lives, characterized by patterns of unstable moods and relationships, impulsivity, coupled with a very poor self-image and are at great risk for suicidal behavior
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histrionic personality disorder
persons tend to be overly dramatic and often appear as if they are acting.
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narcissistic personality disorder
persons show an exaggerated and unreasonable sense of self-importance and preoccupation with receiving attention to such an extent that they lack sensitivity and compassion for other people.
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obsessive-compulsive personality disorder
persons show a fixation on things being done the right way to such an extent that it prevents them from actually completing much of anything.
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paranoid personality disorder
persons in this disorder are excessively mistrustful and suspicious of others, without any justification, and assume that others are out to harm or trick them.
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personality disorder
a person who endures patterns of perceiving, relating to, and thinking about the environment and oneself that are exhibited in a wide range of social and personal contexts and are inflexible and maladaptive, and cause either significant functional impairment or subjective distress
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schizoid personality disorder
persons show a pervasive pattern of detachment from social relationships and a very limited range of emotions in interpersonal situations.
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schizotypal personality disorder
persons with this disorder are typically socially isolated like those with schizoid personality disorder, think and behave in odd and unusual ways, and tend to be highly suspicious and hold odd beliefs
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alogia
the absence of speech, includes brief replies to questions with little content, delayed comments or slowed responses toquestions or as disinterest in conversation
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anhedonia
a lack of pleasure, or indifference to activities that would normally be considered pleasurable, including eating, social interactions, and sexual relations
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associative splitting
breaking of associative threads or the breakdown of forces that connect one function to the next (inability to keep a constant train of thought)
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avolition
(aka apathy) the inability to initiate and presist in activities. persons show little interest in performing even the most basic daily functions such as personal hygiene
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brief psychotic disorder
persons experience 1+ positive symptions of schizo (ie delusions, hallucinations, or disorganized speech or behavior) within one month; often percipitated by an extremely stressful situation and commonly dissipates on its own.
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catatonia
motor dysfunctions that range from wild agitation to immobility
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catatonic immobility
the person may hold unusual postures for hours on end
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catatonic type of schizophrenia
persons show unusual motor responses and odd mannerisms, show echolalia (repeating or mimicking the words of others) and echopraxia (imitating the movements of others)
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delusional disorder
persons display a persistent belief that is contrary to reality in the absence of other schizophrenia symptoms. persons do not have flat affect, anhedonia, or other negative symptons of schizo, they may become socially isolated as a function of their delusions that tend to be long-standing.
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disorganized speech
several, often frustrating forms of communication problems in persons with schizo
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disorganized type of schizophrenia
persons show marked disruptions in their speech and behavior, including flat or inappropriate affect, self-absorption
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expressed emotion
a term describing a particular family communication style that is related to schizo relapse
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flat affect
(aka affective flattening) occurs in 1/4 of persons with schizo & refers to the absence of normally expected emotional responses; show little change in facial expression but not the experience of appropriate emotions, which suggests that flat affect in schizo may represent difficulty in expressing emotion not an inability to feel emotion
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hebephrenia
silly and immature emotionality
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inappropriate affect
laughing or crying at improper times
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negative symptom
indicate the absence or insufficiency of normal behavior and include emotional or social withdrawal, apathy and poverty of thought or speech
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paranoia
delusions of grandeur and persecution
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paranoid type of schizophrenia
these persons have hallucinations and delusions, intacto cognitive skills and affect and do not generally show disorganized speech or flat affect
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positive symptom
refers to active manifestations of abnormal behavior or an excess or distortion of normal behavior
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psychotic behavior
characterized by unusual behaviors but it really refers to either delusions or hallucinations
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residual type of schizophrenia
persons have had at least one episode of schizophrenia but are no longer displaying major symptoms, often display residual symptoms (ie social withdrawal, bizarre thoughts, inactivity or flat affect)
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schizoaffective disorder
persons suffer from symptoms of schizophrenia and a mood disorder; such persons do not tend to get better on their own
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schizophrenia
characterized by a broad spectrum of cognitive and emotional dysfunctions that include hallucinations and delusions, disorganized speech and behavior, and inappropriate emotions
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schizophreniform disorder
persons who have experienced symptoms of schizophrenia for a few months only and usually resume normal lives
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schizophrenogenic mother
a time to describe a mother whose cold, cominant, and rejecting nature was thought to cause schizo in her children
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token economy
residents earn access to meals and small luxuries by behaving appropriately
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neuroleptic/antipsychotic drugs
these drugs affect positive symptoms of schizo (reduce/eliminate hallucinations & delusions) and help persons think more clearly; not equally effective for all persons and often involve a trial and error process to find a medication that works best; conventional antipsychotics work in ~60% of persons but have several unpleasant side effects
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tardive dyskinesia
involves involuntary movements of the tongue, face, mouth, or jaw and can include prorusions of the tongue, puffing of the cheeks, puckering of the mouth and chewing movements. results from high doses of antipsychotic meds
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agnosia
an inability to recognize and name objects
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alzheimer's disease
the "strange disease of the cerebral cortex" that causes "atypical form of senile dementia", discovered by Alois Alzheimer in 1906
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amnestic disorder
characterized by circumscribed loss of memory and an inability to transfer information into long-term memory.
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aphasia
difficulty with language
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asperger's disorder
persons suffer from significant impairment in the ability to engage in meaningful social interaction
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attention deficit/hyperactivity disorder (ADHD)
persons with inattention, overactivity, and impulsivity. persons start tasks but rarely finish them, have trouble concentrating and do not seem to pay attentino when others speak.
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autistic disorder
a childhood disorder characterized by significant impairment in social interactinos and communication and by restricted patterns of behavior, interest, and activities
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childhood disintegrative disorder
pervasive developmental disorder involving severe regression in language, adaptive behavior and meotor skills after a 2- to 4- year period of normal development
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delirium
characterized by impaired consciousness and cognition that develops somewhat rapidly over the course of several hours or days
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dementia
is a cognitive disorder that includes a gradual deterioration of brain functioning that affects judgment, memory, language, and other advanced cognitive processes.
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dementia of the alzheimer's type
multiple cognitive deficits that develop gradually and steadily. there is predominant impairment in memory, orientation, judgment and reasoning and this feature includes inability to integrate new information and failure to learn new associations, forgetting important events or losing objects, narrowed interest in routine activities, loss of interest in others
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down syndrome
caused by an extra 21st chromosome and is sometimes referred to as trisomy 21. caused by the failure of cell division of chromosome 21. associated with characteristic facial features, cognital heart malformations, and dementia of the alzheimer's type
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expressive language disorder
an individual's problems in spoken communication, as measured by significantly low scores on standardized tests of expressive language test scores. limited vocabulary or errors in verb tense
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facial agnosia
an inability to recognize familiar faces may also occur and is extremely distressing to family members
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head trauma
typically caused by accidents and can lead to cognitive impairments in children and adults, with memory loss being the most common symptom. an external factor that can cause dementia
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human immunodeficiency virus type 1 (HIV-1)
causes AIDS and also causes dementia. HIV seems responsible for the neurological impairment
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huntington's disease
a genetic disorder that initially affects motor movements, typically in the form of chorea (involuntary limb movements)
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learning disorder
problems related to academic performance in reading, mathematics, and writing that is substantially below what would be expected given the person's age, IQ, and education
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mathematics disorder
an achievement below expected performance in mathematics
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mental retardation
a disorder of childhood that involves below average intellectual and adaptive functioning
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parkinsons disease
a degenerative brain disorder that affects about 1 out of 1,000 people worldwide. motor problems are characteristic of this disorder, and include stooped posture, slow body movements, tremors, and jerkiness in walking, speech tends to be very soft and monotone
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pervasive developmental disorder
persons have problems with language, socialization and cognition
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reading disorder
a significant discrepancy between a person's reading achievement and what would be expected for someone of the same age.
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selective mutism
developmental disorder characterized by the individuals consistent failure to speek in specific social situations despite speaking in other situations
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stuttering
disturbance in the fluency and time patterning of speech
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susceptibility
an increase risk of developing a disorder
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tic disorder
disruption in early development involving involuntary motor movements or vocalizations
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vascular dementia
a progressive brain disorder that is the second leading cause of dementia next to alzheimers disease
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Wernicke-Korsakoff syndrome
caused by thalamic damage resulting from stroke or, more commonly, chronic and heavy alcohol use. amnestic disorder.
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Drug treatments & drug classifications for ADHD
methylphenidate: ritalin, metadate, concerta; d-amphetamine: dexedrine, detrostat (effective in 70% of cases); adderall (a longer-acting version of these psychostimulants, reduces the need for multiple doses during the day & has similar positive effects)
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civil commitment law
legal procedings that determine a person has a mental illness and may be hospitalized, even involuntarily
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clinical efficacy axis
one of a proposed set of guildelines for evaluating clinical interventions on the evidence of their effectiveness
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clinical utility axis
one of a proposed set of guidelines for evaluating clinical interventions by whether they can be applied effectively and cost effectively in real clinical settings
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competence
ability of legal defendants to participate in their own defense and understand the charges and the roles of the trial participants
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criminal commitment
legal procedure by which a person who is found not guilty of a crime by reason of insanity must be confined in a psychiatric hospital
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dangerousness
tendency to violence that, contrary to popular opinion, is not more likely among mental patients
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deistitutionalization
systematic removal of people with severe mental illness or mental retardation out of institutions like psychiatric hospitals
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diminished capacity
inability of a person to understand the nature of his behavior such that there can be no criminal intent
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duty to warn
mental health professional's responsibility to break confidentiality and notify the potential victim whom a client has specifically threatened
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expert witness
person who because of special training and experience is allowed to offer opinion testimony in legal trials
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mental illness
term formally used to mean psychological disorder but less preferred because it implies that the causes of the disorder can be found in a medial disease process
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transinstitutionalization
movement of people with severe mental illness from large psychiatric hospitals to smaller group residences
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informed consent
ethical requirement whereby research subjects agree to participate in a research study only after they receive full disclosure about the nature of the study and their role in it
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O'Conner v. Donaldson
a state cannot constintutionally confine a non-dangerous individual who is capable of surviving safely in freedom by himself or with the help of willing and responsible family and friends
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Tarasoff v. Regents of the UC
the court ruled that therapists must warn persons at risk of harm by their clients
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Wyatt v. Stickney
set standards for minimum staff-to-patient ratios, structural requirements, and that facilities make positive efforts to attain treatment goals for their patients
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Riggins v. Nevada
ruling stated that because of the potential negative side effects, people cannot be forced to take antipsychotic medication
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Protection and Advocacy for Mentally Ill Individuals Act
established a series of protection and advocacy agencies in each state to investigate allegations of abuse and neglect to act as legal advocates
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Sexual Psychopaths law
persons with criminal propensitiesto the commission of sex offenses
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MMPI
Minnesota Multiphasic Personality Inventory test is almost 90% accurate in revealing malingering in people caliming to have posttraumatic stress disorder and mental health professionals appear capable of providing reliable information about a persons competence, or ability to understand and assist with a defense
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Axis II
Personality disorders and mental retardation (paranoid pd, schizoid pd, schizotypal pd, borderline pd, antisocial pd, narcissistic pd, histrionic pd, avoidant pd, dependent pd, ocd)
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DSM Categorical vs. Dimensional
categorical is limited to a yes or no response to whether the patient has the disorder or not; dimensional allows a 3-point scale to decide whether the patient has the disorder, "yes, not sure, no"
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Eugen Bleuler
a swiss psychiatrist who was the first to introduce the term schizophrenia, believed that the core of schizo was in an associative splitting of basic personality functions
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Emil Kraepelin
a german psychiatrist who provided the most enduring description of schizo, he combined catatonia (alternating immobility and excited agitation), hebephrenia (silly and immature emotionality), and paranoia (delusions of grandeur and persecution) and labeled them as falling under the heading dementia praecox; determined this as a manic-depressive illness by emphasizing onsent and outcome
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Personality disorder clusters
A. is the odd or eccentric cluster and includes paranoid, schizoid, and schizotypal pd; B. is the dramatic, emotional, or erratic cluster and includes antisocial, borderline, histrionic and narcissistic pd; C. is the anxious or fearful cluster and includes avoidant, dependent and ocd pd
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Structural damage with schizo
enlarged lateral ventricles, frontal lobes tend to be less active (hypofrontality) or tend to e too active (hyperfontality)
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