Beruflich Dokumente
Kultur Dokumente
Disorder: Disorder Symptoms Min. Min. Life time Avg. Strong Chronic Treatment Other
Type number of Time prevalenc Age Genetic or
symptoms Period e of link? Episodic
needed Onset ?
Mild Mental Childhood - - IQ: 50-70 Child- - most common
Retardation Mental - can be self-supporting and independent with hood known cause:
Retardation some fetal alcohol
guidance syndrome
- diagnosed by primary school (dont learn
colors on
time)
Moderate Childhood - - IQ: 35-40 Child- - most common
Mental Mental - trainable hood known cause:
Retardation Retardation - can perform simple jobs fetal alcohol
- need supervision (good at sheltered syndrome
workshops)
- need someone to take care of them
Severe Mental Childhood - - IQ: 20-34 Child- - most common
Retardation Mental - can communicate hood known cause:
Retardation - can perform some basic skills fetal alcohol
- level of a 2 year old syndrome
Profound Childhood - - IQ: <20 Child- - most common
Mental Mental - need highly structured environment and hood known cause:
Retardation Retardation constant fetal alcohol
supervision syndrome
Autism Childhood - - central problem: social interaction & failure to Child- 80% have
Autistic interests show hood IQ <70 _
- delayed language and communication progress possible cause:
- do not show separation anxiety on prenatal /
- do not seem to recognize external world develop perinatal injury
- attachment to inanimate object ment by
age 3
Rhetts Childhood - - normal progress of development for first 5-6 Only 5-6
Disorder Autistic months reported in months
- decelaration of head growth following next females (Child-
5-48 hood)
months
- loss of social engagement during early
course (but
may return)
- coordination difficulties
- psychomotor retardation
- language impairment
Childhood Childhood - - normal development for first 12-24 months 12-24
Disintegrative Autistic of life months
Disorder in all areas (Child-
- clinically significant deterioration of all hood)
previously
acquired abilities:
- language, social skills, bowel/bladder
control, play, motor skills
- degredation and impairment in social
interaction
and development
Aspergers Childhood - - significant impairment in social interaction Child-
Disorder Autistic and hood
development
- interests in activities
- No delay in language or cognitive
development
- nerd (very focused on a single task)
Pervasive Childhood - - problems with social interactions coupled Child-
Development Autistic with hood
Disorder (PDD) (NOS) other developmental delays that do not meet
criteria
for autistic spectrum disorders
Disorder: Disorder Symptoms Min. Min. Life time Avg. Strong Chronic Treatment Other
Type number of Time prevalenc Age Genetic or
symptoms Period e of link? Episodic
needed Onset ?
Conducting Childhood - - aggression to people and animals One Child-
Disorder Conduct - destruction of property coupled hood
- deceitfulness and theft with severe
- serious violation of rules problems of
attitude
Oppositional Childhood - - pattern of negative, hostile and defiant Atleast 6 Child-
Defiant Conduct behavior months hood
Disorder - temper tantrums
- argues with adults
- active defiance
- blames others
- touchy, easily annoyed
- angry and resentful
Seperation Childhood - - excessive anxiety concerning separation Must be Child-
Anxiety Separation from home diagnose hood
Disorders or a major attachment figure d before
- anxiety may include: age 18
- excessive worry, fear, bad dreams, or
refusal
Reactive Childhood - - failure to initiate or respond to most social Child-
Childhood Separation interactions or diffuse and indiscriminate hood
Disorder of attachments
Infancy or Early - must be a victim of pathogenic care
Childhood - i.e. emotional or physical neglect or
inconsitent
care takers
Selective Childhood - - child all of a sudden become mute even Child-
Mutism Seperation though he hood
has the ability to talk
ADHD Childhood - 6 or more symptoms of inattention Symptom 3-7% of Child- - Amphetamines
- 6 or more symptoms of hyperactivity or appear school hood - Methylphenidate
impulsivity before aged kids
- symptoms are present in 2 or more settings age 7 M>F
- symptoms cause impairment (2:1 9:1)
- symptoms not caused by another disorder
Pica Childhood - - persistant eating of non-nutritive substances Ages 2-3 Child- Common in
Feeding - i.e. eating non-food items (kids hood people with
under 2 development
doing disabilities (i.e.
this is autism)
normal)
Rumination Childhood - - repeated regurgitation and rechewing food Atleast Child-
Disorder Feeding 1 month hood
Feeding Childhood - - persistant failure to eat adequatly Child-
Disorder of Feeding hood
Infancy or Early
Childhood
Tourettes Childhood - multiple motor and vocal tics simultaneously Onset Child-
Disorder - occur many times a day before hood
age 18
Encopresis Childhood - involuntary passage/release of feces
Enuresis Childhood - involuntary passage of urine (bed-wetter)
Adjustment Adjustment - residual: only diagnosed if other diagnoses Symptoms 6 types:
Disorder are appear - with depressed mood
not present within 3 - with anxiety
- symptoms mark distress in excess of what months of - with depressed mood and anxiety
would be stressor - with disturbance of conduct
expected or generate significant impairment and leave - with mixed disturbance of emotions and
- not bereavement within 6 conduct
months
after
stressor
termination
Disorder: Disorder Symptoms Min. Min. Life time Avg. Strong Chronic Treatment Other
Type number of Time prevalenc Age Genetic or
symptoms Period e of link? Episodic
needed Onset ?
Factitious Lying - person feels compelled to manufacture
Disorder symptoms
- person does not understand why
- motivation is unconscious
- i.e. munchausens or munchausens with
proxy
Malingering Lying - person manufactures symptoms knowingly
with a
conscious benefit
- lying and knowing why your lying
Post Traumatic PTSD - person must have direct personal Symptoms
Stress Disorder experience with an usually
event that involves real chance of serious appear
injury more than 1
- persons must involve intense fear, month
helplessness, or
horror (or in children: intense fear,
helplessness,
horror)
- symptoms:
- re-experience of traumatic event
(flashbacks)
- avoidance of stimuli
- repetition compulsion
- flattening
- concentration/headache problems
- sleep disturbance
Somatization Somatoform - history of many physical complaints that All Complain
Disorder occur over complaints t must
several years and result in treatment being must have begin
sought been met at before
and impairment in functioning some point age 30
- Complaints: (which cannot be explained fully
or are
in excess of the medical
condition)
- 4 pain symptoms in different site
- 2 GI symptoms (non-pain)
- 1 sexual symptom
- 1 pseudoneurological symptom
Conversion Somatoform - physical symptoms suggest physical Differential
Disorder disorders that diagnosis:
(hysteria) cannot be explained or are uncompatible - psychotic
with disorder
known physiological mechanisms - depression
- symptoms usually muscular in nature - neurologic
- loss of functioning is real disorder
Hypochondriasi Somatoform - unrealistic interpretation or physical signs Lasts Differential
s - worries about illness when none is present >6 diagnosis:
- reassurance does not help months - personality
- tend to spend a lot of time with family doctor disorders
- obsessional - delusional
disorders
- depression,
- disease
Somatoform Somatoform - severe, prolonged pain with no physical - identify secondary Differential
Pain Disorder cause gain diagnosis:
- disrupts day to day life - depression
- not caused by depression - injury
- usually a unconscious secondary gain -melingering
Body Somatoform - central symptom: adolesc Differential
Dysmorphic - unrealistic appraisal of ones appearance ence diagnosis:
Disorder - sees self as ugly - personality
- patient does not focus exclusively on weight disorder
- delusional
disorder
- eating
disorder
Disorder: Disorder Symptoms Min. Min. Life time Avg. Strong Chronic Treatment Other
Type number of Time prevalenc Age Genetic or
symptoms Period e of link? Episodic
needed Onset ?
Bulemia Eating - compulsive eating followed by compulsive F>M - treat the addiction that Person is usually
purging 5-15% are is perky and has
- purging: vomiting, laxatives, exercise male _ causing the bolemia high sex drive__
- binge purge cycle usually associated with 1-3% of - SSRIs _
stress or women - individual and group Usually has
drugs develop therapy normal body
- minimal public eating bulimia weight
- esophageal tear
- cooking/food preoccupation
- tooth decay, bite marks on toothbrush or
hand
- enlarged parotid and salivary glands
Anorexia Eating - dangerously thin people that see themselves F>M 13-20 - stabilize weight Mortality:
as 95% are (rare in - Drugs: - 5-18%
overweight women women - Cyproheptadine decreased
- repeatedly check body weight >40) - Chloropromazine interest in sex
- engage in methods to control body weight: 0.5-1% - Amitriptyline _
- compulsive exercise prevalence Common if they
- purging (vomiting) have
- laxative abuse overbearing
- enemas mother or
- diuretics intense
- often experience delay of onset of first relationship with
menstrual father
period
Binge Eating Eating - Eating more rapidly than normal Atleast 3 of Atleast 2 F>M Similar
Disorder - Eat until one feels uncomfortably full the days a 35% are compulsion to
- Eating large amounts of food when not symtoms week for male eat as bulimia
feeling 6 months (without the
physically hungry purging)
- Eating alone (to avoid embarrassment over
amount
of food being eaten)
- Feeling disgusted with oneself, depressed or
guilty
after overeating
Morbid Obesity Eating - BMI > 40 F>M 9 million
Americans have
this
Dissociative Dissocation - individual cannot recall important personal
Amnesia information
- often is blocking out unpleasant events that
occurred
- Localized Amnesia: loss of memory of a
specific
period
- Selective Amnesia: loss of some piece of a
specific
memory
Dissociative Dissocation - sudden unexpected traveling from home 0.2% Usually occur
Fugue with during war or
general forgetting of ones identity and past natural disasters
- person assumes new identity
- person usually does not attract attention or
seems
fairly normal during intervening time
- if fugue ends: person does not remember
what
happened during fugue
Depersonali- Dissocation - person has a sense that oneself is not real, Often occurs
zation or is with:
Disoder detached and disconnected from others - PTSD
- person can feel like a robot, or that one is - just before
outside panic attack
their own body watching oneself - in intense
depressive
states
Disorder: Disorder Symptoms Min. Min. Life time Avg. Strong Chronic Treatment Other
Type number of Time prevalenc Age Genetic or
symptoms Period e of link? Episodic
needed Onset ?
Dissociative Dissocation - presence of two or more distinct identities F>M 30 - hypnosis 2/3 of patients
Identity - atleast two identities control behavior (5:1-9:1) - develop strong attempt suicide
Disorder (DID) - normally have 5-10 identities boundaries
- (can be of both sexes) - clarity, simplicity,
- patient forgets personal information relating support
to
other identitiy
- usually caused by traumatic childhood event
- usually with an absence of external
support
- patient is usually in an environment that
will
support development of multiple
personalities
Schizotypal Type A - truly odd, weird, and strange 3% _ more Problems
Personality Personality - magical thinking (ESP, telepathy) M>F _ common maintaining
Disorder - illusions bordering on hallucinations among social
(oddness and - Social aniety and paranoia schitzo- conventions
eccentricity) - suspiciousness phrenic poor eye contact
- lack of close friends relatives _
- odd speech, strange dressors 10% commit
- social isolation suicide
- schizophrenic like personality
Schizoid Type A - lifelong pattern of social withdrawl that is 7.5% Often passional
Personality Personality preferred hobbyists _
Disorder and enjoyed M>F (2:1) No close friends
(oddness and - often seen as eccentric, isolted, withdrawn
eccentricity) - restriction of affect and emotional expression
- little sexual interest
- have trouble expressing anger
- often directionless in life
Paranoid Type A - pervasive suspiciousness and mistrust of 0.5-2.5% First appear in
Personality Personality others that ------------ childhood:
Disorder permeates the persons attitude and M>F
(oddness and interactions with poor peer
eccentricity) others relationship
- preoccupied with issues of trust underachieve in
- reluctant to confide in others school
- read too deeply into messages (verbal or
written)
- frequently carry grudges with a passion
- believe others are plotting against them
- not psychotic or delusional
Histrionic Type B - people who tend to focus on superficial and W>M - individual therapy Exaggerate
Personality Personality material aspects of the world - emphasis on emotional
Disorder - pull for drama takes over developing responses _
(behavior - want to be the center of attention insight and depth have difficulty
problems & - attention seeking behavior handling aging
substance - seductive behavior
abuse) - problems maintaining long-lasting
relationships
Narcissistic Type B - person brought up where they were praised 2-16% chronic - difficult to treat Have difficulty
Personality Personality when handing aging
Disorder they were the best, and rejected when they equally _
(behavior were common in often successful
problems & anything less males and
substance - fragile sense of self females
abuse) - need for admiration to prop up internal self
doubts
- grandiose sense of self importance
- does not do well with critisism
Borderline Type B - persons sense of self is unstable (flip-flop 1-2% 5% commit
Personality Personality between --------- suicide
Disorder intact and horrific) F>M Often self-
(behavior - in high anxiety / low structure environments, 2:1 mutilators
problems & person
substance crumbles, feels like theyre in a fight for
abuse) survival
- behave in primitive, angry, desperate
ways
- very successful under high structured
environments
- cannot handle anxiety, uncertainty, or
boredom
Disorder: Disorder Symptoms Min. Min. Life time Avg. Strong Chronic Treatment Other
Type number of Time prevalenc Age Genetic or
symptoms Period e of link? Episodic
needed Onset ?
Anti-Social Type B - individual never developed a sense of 3% of Onset 5 x more 75% of the
Personality Personality empathy males ; before common prison population
Disorder (ASP) - or empathy was beaten out of them as a 1% of age 15 in
(behavior child females relatives
problems & - no conscience ------------- of other
substance - inconsistent, non-existent super-ego M > F (3:1) ASPs
abuse) functioning
- capable of criminal acts without remorse
- little sense of need to adhere to social
norms
- feeling of emptiness (stimulation seeking)
- masters of manipulation
- have a very difficult time planning ahead (for
longterm planning)
Obsessive Type C - Orderly, inflexible, perfectionist M>F No obsessions
Compulsive Personality - love lists, rules, and order ------------- or compulsions
Personality - dislike change more
Disorder (Anxious & - stubborn common in
Fearful) - poor sense of humor first borns
Dependent Type C - looks for others to assume responsibility W>M
Personality Personality - subordinates own needs to others (but not to
Disorder gain
(Anxious & power)
Fearful) - doesnt express disagreement
- fearful of independence or self care
- vulnerable to hooking up with abusive
spouse
Avoidant Type C - extremely sensitive to rejection Equally Stay in same job,
Personality Personality - sees self as socially inept common in same life
Disorder - excessive shyness, high anxiety males and situation, same
(Anxious & - social isolation coupled with intense, internal females relationship
Fearful) desire Often associated
for affection and acceptance with debilitating
illness
Decreased SER Increased SER Increase REM first half of night Decreased Sleep
Anxiety Disorders- fear that is not attached to an external stimulus (that does not make sense)
- fear- anxiety that makes sense
- most common psychiatric disorder in women
- Anxiety itself is the main symptom
- other symptoms: (mainly constant state of anticipation)
- Angst
- Vague, gnawing sense of dread
- fear and loathing
- butterflies in the stomach
- Antsy
- Headache
- Sweating
- Palpitations
- Tightness in chest
- Stomach Aches
- Autonomic response
- Peripheral Manifestations:
- Diarrhea
- Dizziness (light headedness)
- Hypertension
- Tachycardia
- Tingling of extremities
- Tremor
- Urinary Frequency
Schizophrenia Suicide Risk are lower in patients:
- who are older at onset
- have social relationships
- are female
- have good employment histories
- have good mood symptoms
- have positive symptoms (less negative symptoms)
- have experienced few relapses
Before Age 1 Age 2 Age 3 Age 4 Age 5 Ages 6-12 Ages 12+
Age 1 adolescence
Smiles 8 weeks: smile
to pleasant
stimuli
12-15 weeks:
preferential
smile
Physical puts things in - kick and - very active -rides tricycle - - complete - boys - growth spurt
Developme mouth throw ball - walks - alternates alternates sphincter heavier than (girls first)
nt 4 weeks: follows - pats backwards feet feet when control girls
objects to pictures in - turn climbing up climbing - brain - refined 10+:
midline book doorknobs stairs down 75% motor skills sexual maturity
5 months: 13 months: & unscrew - bowel and stairs of adult - rides - primary and
feet in mouth walks jars bladder - hops on weight bicycle secondary sexual
6 months: alone - scribbles control one foot - draws - prints characteristics
moves toys from 18 months: with - draws - grooming recognizab letters develop
hand to hand - climbs crayons recognizable (i.e. tooth le person - gains
8 months: stairs 24 months: figures brushing) (i.e. head, athletic
stand with help alone stacks 6 - catches ball body, skills
9 months: - hand cubes with arms limbs) - increase in
crawls fear fall 30 months: - cuts paper - self coordination
12 months: preference - stands on with scissors dresses/ 11 years:
pincer grasp tiptoes - unbuttons - permanent
determined - can aim buttons undresses teeth
- stacks 3 thrown ball 36 months: - catches
cubes stacks 9 ball with 2
cubes hands
Piagetian Sensorimotor (ages: birth 2) Preoperational Thought (ages 2-7) Concrete Formal
Stages of - develops organized ideas/concepts - able to use symbols Operations Operations
Cognitive (schemas) - egocentric (cannot see another (Ages 7-11) (Ages 11+)
Dlopment - object permanence perspective) - Not - logical thoughts
egocentric (deductive
- learns reasoning)
conservation
Cognitive - sensation & Object - symbol -points and Counts 10 - abstraction - abstract ability
Developme movement permanenc use counts 3 objects from objects flowers
nt - initial schema e - transition objects - - systematic
development objects - repeats 4 conservation problem solving
- assimilation& - strong digits - logic abilities
accomodation egocentricis - names - - hypothetic
m colors understands reasoning
- concrete seriation - learns past,
use - uses present, future
of objects mnemonic concept
strategies - sense of time
- gains
personal
sense or
right and
wrong
Social - mommy is god - - terrible - fixed gender - imitates - - focus on - critical issue:
Developme - trust issues dependent 2s identity adult roles emergence rules identity
nt - solitary and on parent - selfish / - sex specific - sex of peer - organized - romance
exploratory - No selfcentered play curiosity group games and 11 & 12 years:
play - parallel - imitates - learns to - - want to fit sports - conformity with
- pat a cake / play with mannerisms take turns nightmares in - learns to be peers is important
peek other - aggressive - knows - monstor - looks on a team
a boo babies - No, No, his/her name fears outside - sexes often
- rappro- No, No and gender - imaginary family separated
chement friend -romantic - no
feelings apparent
- oedipal sexual
phase feelings
- focus on
demonstratin
g
competence
Attachment 6 months: 12 months:
and Stranger Anxiety Stranger
Seperation begins Anxiety
8 months: disappears
Stranger Anxiety 20-24
Peaks mths:
8-12 months: Seperation
Seperation anxiety
Anxiety appears begins to
dissapear
Eriksons Stage 1: Trust Stage 2: Autonomy vs. Stage 3 : Initiative vs. Guilt Stage 4 : Stage 5: Identity
Stages of vs. Basic Shame (3 -5 years) Industry vs. vs. Role
Social Mistrust (18months -3 years) Virtue: Purpose Inferiority Confusion
Developme (0-18 months) Virtue: Will Pathology: (5-13 years) (13-21 years)
nt Virtue: Hope Pathology: - Conversion disorder Virtue: Virtue: Fidelity
Pathology: - Paranoia - phobia Competence Pathology:
- psychosis - Obsessions - psychosomatic disorder Pathology: -Bad behavior &
- addiction - Compulsions - inhibition - creative gender role
- depression - Self-doubt inhibition disorder
- inertia Stage 6: Intimacy
vs. Isolation
(21-40 years)
Virtue: Love
Pathology:
- Schizoid
personality
disorder
Stage 7:
Generativity vs.
Stagnation
(40-60 years)
Virtue: Care
Pathology:
- midlife crisis
- premature
invalidism
Stage 8: Integrity
vs. Despair
(60+years)
Virtue: Wisdom
Pathology:
-
alienation/despair
Language 4 months: - timing of - telegraphic - complete - can tell - ask the - 50,000 - develops
Developme Laughs sounds sentences sentences stories meaning of words personal speech
nt 8 months: - 10 words - 2 word - 900 words - uses words - vocabulary pattern
Repetitive utterances - strangers preposition - abstract explosion - relationship
responding - 250 words can s works - self referral focused around
10 months: - pronouns understand - uses remain speech to communication
first word - parents speech plurals difficult / social
(Ma ma / Da da) can - recognizes - unclear speech
understand common compound - more
speech object sentences complete
names sentences
Shape Age 3: Age 4: Age 5: Age 6:
Production Circle Cross Square Triangle
Age 4.5: Age 7:
Rectangle Diamond
Brain and Last trimester of 2-4 years:
Memories pregnancy - 14 earliest memories (infantile amnesia)
months:
Furious brain
growth
Defense Mechanisms: person alters reality to make the world easier to perceive
Narcissistic Defenses: maintain composure by altering view of others in the world
Projection- attribute own wishes, desires, thoughts, or emotions to someone else
Denial- Not allowing reality to penetrate
Splitting- Dealing with anxiety by bifurcating the situation
- i.e. use of stereotypes..or..Dr. Kuang is the reason im doing bad but Dr. Burns is good
Immature Defenses: silly defenses
Blocking- mental lapse (convenient amnesia)
- single moment
Regression- acting silly or younger than is typical
Somatization- develping somatic symptoms to deal with problems
- i.e. headache during exam
Introjection- essential identification
- person identifies with the other person who is causing the stress
Anxiety Defenses:
- Displacement- take the affect that is bothering you and drop it on to someone else
- yell at an innocent someone because of you are frustrated
- Repression- blocking out or putting away information that you once knew
- removing them from awareness
- common in parents
- Isolation of Affect- maintain perfect awareness but drain away emotion
- I am going to fail...I have a 69..saying it in a normal robotic tone
- Intellectualization- think about things and get caught up in the technical details, thus taking your mind off the fear
- Acting Out- person acts inappropriately to take their mind off a previous stressful situation and placing your mind on this instead
- Rationalization- coming up with an excuse or justification for doing something you know your not supposed to do
- Reaction Formation- doing something to prevent you from ever having to deal with a preconscious conflict
- i.e. wearing anti-meat tattoos and stuff b/c your vegetarian but your tempted to eat meat
- Undoing- doing something to make up (compensate) for your bad urges
- Passive-Aggression- find ways to be angry and fus with people without taking responsibility for it
- Dissociation- split off part of yourself
- becoming a different person when your frustrated or stressed
- separating the memory from the memory itself
Mature Defenses:
- Humor- deal with conflicts or discomforts by making a joke out of it
- Sublimation- channel unacceptable urge in a positive direction
- taking your anger and using it to drive your studying
- Suppression- CONSCIOUS decision to postpone attention impulse or emotion
- suppression your emotions until you are ready to deal with it
Pavlovs Dogs:
- Conditions:
1. unconditioned stimulus (UCS) has to produce and unconditional response
(UCR)
2. neutral stimulus (NS) must become the conditioned stimulus (CS)
3. conditioned stimulus, when applied by itself, must produce a response similar
to the unconditional response
- i.e. realized that over time, dogs begin to salivate when they see a light turn on
because the light turning on is always followed by food
- unconditioned stimulus: food
- unconditioned response: salivating
- neutral stimulus/conditioned stimulus: light switch / light turning on
- conditioned response: salivation
Projective Tests
Rorschach Inkblot Test has the individual interpret what inkblots look like
Thematic Apperception Test TAT storytelling test that has person make up stories about pictures shown to them
Objective Tests
IQ tests-
WAIS/WISC/WPPSI
Stanford Binet