ECU PSYC 1000 - Disorders continued (7 pages)

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Disorders continued



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PSYC 1000 Lecture 20 Outline of Last Lecture I Anxiety Disorders a Our self protective risk reduction instincts in overdrive i Generalized Anxiety Disorder 1 Painful worrying 2 Emotional cognitive a Symptoms include worrying having anxious feelings b Physical symptoms include autonomic arousal ii Panic Disorder 1 Fear of the next attack 2 Not just an anxiety attack 3 Chest pains choking numbness or other frightening physical iii Phobias 1 Don t even show me a picture 2 More than just a strong fear or dislike a Uncontrollable irrational intense desire to avoid the some object or situation 3 Agoraphobia a Avoidance of situations in which one will fear having a panic attack 4 Social Phobia a Intense fear of being watched and judged by others often showing as a fear of possibly embarrassing public appearances iv OCD 1 Obsessions are intense unwanted worries ideas and images that repeatedly pop up in the mind 2 Compulsion is a repeatedly strong v PTSD 1 Stuck re experiencing trauma 2 Repeated intrusive recall of those memories 3 Nightmares and other re experiencing b Causes i Fear conditioning ii Observational learning iii Genetic evolutionary predispositions These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute II iv Brain involvement Understanding Anxiety Disorders a Classical conditioning b Operant condition Outline of Current Lecture I Dissociative Disorders a Dissociation b Dissociative disorder c Dissociative Fugue state d Dissociative Identity Disorder D I D II Eating Disorders a unrealistic body image and extreme body ideal b a desire to control food and the body when one s situation can t be controlled c cycles of depression d health problems e Anorexia Nervosa f Bulimia Nervosa g Binge Eating Disorder h Factors III Personality Disorders a Personality disorders b Anxious c Eccentric Odd d Dramatic IV Antisocial Personality Disorder APD a Antisocial personality disorder b The diagnostic criteria c Psychological factors d Biological APD Risk Factors Current Lecture Test Reviews Module 39 40 41 I Dissociative Disorders a Dissociation i a separation of conscious awareness from thoughts memory bodily sensations feelings or even from identity b Dissociative disorder i dysfunction and distress caused by chronic and severe dissociation c Dissociative Fugue state i Fugue Running away wandering away from one s life memory and identity with no memory of them d Dissociative Identity Disorder D I D i Development of separate personalities ii Multiple Personality Disorder iii Personalities 1 are distinct and not present in consciousness at the same time 2 may or may not appear to be aware of each other 3 different brain wave patterns 4 different left right handedness 5 different visual acuity and eye muscle balance patterns 6 Patients with D I D also show heightened activity in areas of the brain associated with managing and inhibiting traumatic memories iv Alternative Explanations for D I D 1 Dissociative identities might just be an extreme form of playing a role 2 D I D in North America might be a recent cultural construction similar to the idea of being possessed by evil spirits 3 Cases of D I D might be created or worsened by therapists encouraging people to think of different parts of themselves v Psychoanalytic perspective 1 diverting id vi Cognitive perspective 1 coping with abuse vii Learning perspective 1 dissociation pays II Eating Disorders a unrealistic body image and extreme body ideal b a desire to control food and the body when one s situation can t be controlled c cycles of depression d health problems e Anorexia Nervosa i Compulsion to lose weight coupled with certainty about being fat despite being 15 percent or underweight f Bulimia Nervosa i Compulsion to binge eating large amounts of fats then purge by losing the food through vomiting laxatives and extreme exercise g Binge Eating Disorder i Compulsion to binge followed by guilt and depression h Factors i Family factors 1 having a mother focused on her weight and on child s appearance and weight 2 negative self evaluation in the family 3 for bulimia if childhood obesity runs in the family 4 for anorexia if families are competitive high achieving and protective ii Cultural factors 1 unrealistic ideals of body appearance III Personality Disorders a Personality disorders i are enduring patterns of social and other behavior that impair social functioning b Anxious i Avoidant P D ruled by fear of social rejection c Eccentric Odd i Schizoid P D with flat affect no social attachments d Dramatic i Histrionic attention seeking narcissistic self centered antisocial amoral IV Antisocial Personality Disorder APD a Antisocial personality disorder i Persistently acting without conscience without a sense of guilt for harm done to others strangers and family alike b The diagnostic criteria i Deceitfulness ii Disregard for safety of self or others iii Aggressiveness iv Failure to conform to social norms v Lack of remorse vi Impulsivity and failure to plan ahead vii Irritability viii Irresponsibility regarding jobs family and money ix About half of children with persistent antisocial behavior develop lifelong APD c Psychological factors i those who in preschool were impulsive uninhibited unconcerned with social rewards and low in anxiety ii those who endured child abuse and or inconsistent unavailable caretaking d Biological APD Risk Factors i Antisocial or unemotional biological relatives increases risk ii Some associated genes have been identified iii Lower levels of stress hormones and low physiological arousal in stressful situations iv Fear conditioning is impaired v Reduced prefrontal cortex tissue leads to impulsivity vi Substance dependence is more likely


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