SC PSYC 410 - Final Exam Study Guide (7 pages)

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Final Exam Study Guide

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Final Exam Study Guide


This study guide covers schizophrenia and related disorders, dissociative disorders, somatic symptom and related disorders, impulse control and conduct disorders, and personality disorders.

Study Guide
University Of South Carolina-Columbia
Psyc 410 - Survey Abnormal Psyc
Survey Abnormal Psyc Documents
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PSYC 410 1st Edition Final Exam Study Guide Chpater 11 Schizophrenia and Related Disorders Reality testing the ability to perceive the world accurately and distinguish reality from fantasy 3 spheres who where and what time or day Out of touch with reality includes having delusions or hallucinations First psychotic break the first time that an individual has delusions or hallucinations Usually happens between late adolescence 16 and early adulthood 25 3 Phases prodromal phase acute phase residual phase A Schizophrenia Characterized by delusions hallucinations disorganized speech grossly disorganized or catatonic behavior and negative symptoms prodromal symptoms Must have two or more of these symptoms but one must be either delusions hallucinations or disorganized speech An individual cannot properly manage day to day life Continuous symptoms persist for at least 6 months Hallucinations sensory perceptions in the absence of external stimuli Delusions fixed false beliefs a Delusions of persecution or paranoia thinking that someone is out to get you or is making fun of you b Delusions of reference something ordinary is specifically intended for you c Delusions of control belief that external forces are controlling you d Delusions of grandeur belief that you are a very important or special person Disorganized Speech Poverty of speech slow limited vague speech Complete incoherence Neologisms made up words Perseveration repetition of words or phrases Clanging rhythmic rhyming speech psychotic rap Blocking involuntary interruption of speech or thought Ecolalia repetition of the last part of a sentence or word Derailment completely lose track of one s thought Etiology of Schizophrenia Genetic component in a family where someone has schizophrenia there is a higher occurrence of other mental disorders Level of dopamine associated with hallucinations Ventricles spaces in brain are larger Less gray matter in brain Viral theory exposure to virus in vitro may contribute to schizophrenia Positive correlation between low birth weight and schizophrenia Catatonic behavior an individual is relatively unresponsive may exhibit rigidity and waxy flexibility if you move them they stay in the position Heightened expressed emotion low levels of empathy tolerance flexibility and warmth causes conflict eruption people with schizophrenia living in this type of environment are more than 2 times as likely to have a relapse Schizophrenogenic mother cold aloof overprotective and domineering Used to be thought that this type of mother could cause her children to develop schizophrenia but this theory has been discredited Treatment a Anti psychotic medication is highly sedating b Atypical psychotic medication not as many side effects and tends to be more effective c Psychotherapy more successful in highly functioning schizophrenics a Family therapy is also important B Schizophreniform Same diagnostic criteria as for schizophrenia Symptoms must be present for at least 1 month but not last more than 6 months C Brief Psychotic Disorder Characterized by delusions hallucinations disorganized speech and grossly disorganized or catatonic behavior must have at least 1 of the first 3 symptoms Duration is at least 1 day but less than 1 month D Schizoaffective Uninterrupted period of illness concurrent with schizophrenia Delusions or hallucinations for 2 or more weeks Major mood episode symptoms present for majority of illness Similar to bipolar and major depressive disorder with psychotic features E Delusional Disorder The presence of one or more delusions within 1 month or longer Functioning is not impaired or bizarre apart from the delusion 6 Different types a Erotomanic delusional beliefs that someone else is in love with you b Grandiose inflated beliefs about one s own worth importance power c Jealous delusions of jealousy in which the person believes their spouse is unfaithful d Persucatory beliefs that a person is being conspired against followed spied on etc e Somatic delusions involving bodily functions and senses f Mixed a combination of several types of delusions Chapter 6 Dissociative Disorders A Dissociative Identity Disorder Used to be called Multiple Personality Disorder before 1994 DSM 3 Did not meet reliability criteria to be included in the DSM 5 but was anyways due to the influence of one specific person A rare and controversial disorder Diagnostic Criteria Disruption of identity characterized by two or more distinct personality states Marked discontinuity in sense of self Alterations in affect behavior cognition etc Gaps in the recall of everyday events or important personal information Since dissociation is a defense mechanism the disorder is thought to originate from a traumatic childhood event B Dissociative Amnesia Disorder The inability to recall important autobiographical information Tends to occur around a traumatic or stressful event Dissociative Fugue a person suddenly forgets all past memories and assumes a new identity The purpose of treatment is to integrate all personalities C Depersonalization Derealization Disorder Depersonalization experiences of being an outside observer to oneself Derealization experiences of unreality with respect to one s surroundings Reality testing remains intact during experiences of depersonalization or derealization Somatic Symptom and Related Disorders A Somatic Symptom Disorder Excessive concern over troubling physical symptoms that it disrupts daily life Characterized by persistent thoughts about symptoms anxiety about symptoms and excessive time and energy devoted to symptoms Patient may visit many different doctors in an effort to explain symptoms doctor shopping B Illness Anxiety Disorder Preoccupation with having or acquiring a serious undiagnosed illness Physical symptoms are either very mild or not present Characterized by high level of anxiety about health C Conversion Disorder Characterized by symptoms which affect voluntary movements like walking or impair sensory functions like sight or hearing There is no medical explanation for symptoms Is thought to be a defense mechanism as a result from traumatic experiences and or emotional distress D Factitious Disorder Physical or psychological symptoms are made up with no apparent motive Is also known as Munchausen syndrome Can also be imposed upon another person by proxy Usually occurs in the form of a parent imposing illness on their child Impulse Control Ch 12 Conduct Disorders Ch 13 A Oppositional

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