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UT PSY 352 - Exam 2 material

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Exam 2 materialThursday, October 9, 201412:36 PM Eastern perspective- disruption of harmony of lifeWestern perspective- illness is personalBehavioral and emotional regulated disorders easier to treatImportant to history of psychotherapy- invented by treatment of Anna O.- father died from illness, she was primary caretaker, began to have weird symptoms, phobias, false pregnancy, paralysis?Therapist used catharsis- way of talking about ; used hypnosis too; psychoanalysisDisorders- susceptibility to substanace abuse and suicide; history of anxiety, somatic symptoms, and dissociative disorders in adults and children2 children important for history of psychotherapy:Little Hanz- phobia of horses; father played horsey with Hanz on his back; walking in park one day and a horse fell and he freaked out; Hanz got well working with Freud and went on to being famous orchestra conductor Little albert - child fond of white rabbit; phobias can be learned and unlearnedJohn Watson famous psychiatrist and assistant RaymorTried to form phobia then get rid of phobia; associated loud noise with rabbit- it workedDidn’t ask parents for permission x - albert was afraid of anything white and furry Mary Cover Jones- would ask permission for conditioning phobia and distinguished phobia; asked parents not to feed child in morning- fed him and brought rabbit closer each time; stimulus of food cancelled out anxietyLearning behavioral - rival of psychoanalysisCultural formulation 3 major disorders: anxiety disorders, trauma and stressor related disorders and obsessive compulsive and related disorders Anxiety: negative mood state, bodily symptoms of physical tension and apprehension (worry) about futureEgo dystonic Panic disorder: period of time in which person fears they are dying or losing control (panic attacks!)Symptoms: palpitations, pounding Heart beatSweating, trembling, shortness of breath, chest pains, worry about consequences of attack, significant change in behavior related to attacksAgoraphobia can be present or absent: afraid to be alone or leave house alone, be certain places where is escape may be difficult, have to be accompanied if going somewhereSeparation anxiety disorder: fear of being separated form parent of significant other (part 3 childhood) Agoraphobia: fear or avoidance of certain situations bc of thoughts that escape may be difficult or help may not be available in event of developing panic symptoms and fear of incontinenceSpecific phobias: anxiety brought on by exposure to specific object or situations (flying, insects, heights, animals, blood) Can be hereditary, exposure to feared object or situation almost always provokes an anxiety response, person recognized that the fear is excessive or unreasonable, situation/object is avoided or endured withdistress Social phobia: anxiety brought on by exposure to certain types of social or performance situations, feel that they will act in ways that will be embarrassing (excessive shyness); symptoms same as specific phobiaCan be hereditary, exposure to feared object or situation almost always provokes an anxiety response, person recognized that the fear is excessive or unreasonable, situation/object is avoided or endured withdistress Generalized Anxiety Disorder: excessive anxiety and worry in at least 3 areas of a person's life (very hereditary)Excessive anxiety and worry for 6 months, difficulty in controlling worryAt least 3 of the following symptoms: restlessness, easily fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbanceNot limited to one specific issue Recording tape of 18yr old girl with GAD= Hilda J. CaseVcodes: abuse of child -sexual and physical, parent-child relational problemsPhysically and sexually abused by father, afraid mother will try to kill her at night when she is sleeping- doesn’t know why she thinks this will happen; ran away from home twice; drinks very often; placed in hospital- no shelters back then; no emotional support systems from family, fear of parents Life Crisis/challenge: PC: feels threatened by parents and victim of physical and sexual abuse by fathereV: father has been abusing her and stated that she thinks her mother wants to kill herHistory: SocializationPC: victim of physical and sexual abuse by father and fearful and distressful of motherEv: reported abuse and afraid her mother may kill her and take her father back when she is in hospitalLife experiences:PC: lack of stable support systems or has come to attention of courtEv: has probation officer; is having to stay with friends "just here and there" when she runs away from home HGNPC: abusing alcoholEv: reported she is drinking to point of drunk and could be damaging her liver, heart and brain Coping techniques: Adaptive copingPC: is willing to open up emotionally in interview (seeking help)EV: describes dreams in detail as well as feelings towards parents and is honest in her answers to questionsMaladaptive coping:PC: abuse of alcohol Ev: admitted to drinking to the point of drunkFamily therapy with mom and siblings would be the bestDiagnosis: Generalized Anxiety Disorder (several symptoms) but bc of age and environment, also consider giving benefit of doubt and diagnosing her with adjustment disorder with anxiety and depressionVcodes: parent child relational problem, child sexual abuse and child psychological abuse (victim in both) Mood Disorders: (emotional regulation in BEC) 2 major diagnostic categories: Depressive and Bipolar andRelated Disorders are characterized by different mood states4 possible mood states:Mania: euphoric state, high, agitated, talk very rapidly, rash decisionsDepression: hopelessness, low moodHypomania: mild mania, not as extreme as maniaMixed: some depression and maniaDepression-----------mixed--------------mania Mild- severeMood disorder: gross deviations in mood or changes in activity levels Major depressive episode: highly depressed mood state with disturbed cognitive and physical functioning with anhedonia(inability to experience any pleasure from life) ; could be seasonal affective disorder (SAD)Diagnostic indicators- symptoms cause serious impairment in social and occupational functioning (more than 2 months); may require hospitalizaiton and medicationSymptoms: depressed mood, loss of interest in usual activities, change in appetite, change in sleep Manic episode: abnormally and persistently elevated, expansive or irritable mood; diagnostic indicators- elevated mood for at least


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