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Gender Identity Disorder AKA...? (3)
Also known as gender dysphoria Dysphoria (discontentment) with the sex they were assigned at birth and/or the gender roles associated with that sex. Cross-dressing 1st Pregnant Man: Thomas Beattie
Transsexualism
Identifies with a gender inconsistent or not culturally associated with their assigned sex Most become homosexual
Only place in the US where you can choose your gender
Oregon
Psychodynamic Perspective of Gender ID Disorder
Over-mothered
Biological Perspective
Biological Perspective
Sociocultural Perspective: Heterosexism
Apathy/neutral feelings toward homosexuals
Male Hypoactive Sexual Desire Disorder
Absence of sexual interest
Female Sexual Interest/Arousal Disorder Prevalence?
Absence of sexual interest and arousal Prevalence: 10-40%
Absence of sexual interest and arousal Prevalence: 10-40%
Delays/inability to orgasm. Infrequent orgasm
Orgasm Disorder: Delayed Ejaculation
Delays, infrequent, reduced intensity, absent
Orgasm Disorder: Premature Ejaculation Prevalence?
<1 minute 30% Prevalence
Genito-Pelvic Pain/Penetration Disorder Prevalence?
Pain in sexual organs during vaginal intercourse or penetration. 1-6%
% of Women and Men w/ Sex.l Dysfunction in their life
Women: 43% Men: 31%
Criteria for a Sexual Disorder (2)
Persistent: 6+ months Present in at least 75% of sexual encounters
Brain activate more when faking or actually orgasming?
When faking
% of people with sexual regrets
72%
Paraphelia
Sexual desire/arousal by abnormal things
When do fetishes become a disorder?
Time (fill tub with milk) Anxiety about being different Can't be satisfied unless have food/fetish item - hurts partner
When do fetishes become a disorder?
Sexual desire, urge, fantasy, arousal focused on a non-living/highly specific object NOT animals
Fetishitistic Disorder: Partialism
Sexual desire focused on a specific body part 9foot fetish
Voyeuristic Disorder (3)
"Peeping Tom" non-consent and unknowing that being watched Accelerates into stalking/exhibition
Frotteuristic Disorder (2)
Rub against non-consent victim Usually know its a problem: may get help
Pedophilic Disorder
Recurrent, intense fantasy, urges etc w/ prepubescent children (<13 years)
Pedophile must be... (age)
At least 16 years old or at least 5 years older than child NOT a teenager in relationship with a 13-15 year old
Sexual Masochism
pleasure from getting hurt/humiliated
Sexual Sadism (2)
pleasure from hurting/humiliating someone else Don't care if you want to be hurt or not
Is incest a paraphelia?
No
Treatment for these: Cognitive Behavioral Therapy goal
to get people to want to change (group therapy)
Treatment: Aversion Therapy
to get people to want to change (group therapy)
Paranoid Personality Disorder (3)
Suspiciousness (someone's always got it in for me) NO DELUSIONS: non-realistic false beliefs-CIA planted chip in head Suspicions of spousal infidelity too
Schizoid Personality Disorder (4)
People are objects Rarely express emotions Lack of interest in relationships Socially withdrawn
Schizotypal Personality Disorder (4)
Wily Wonka: Eccentric Bizzare behaviors Very superstitious (lucky number everywhere - magical thinking) Socially isolated
Transvestic Disorder
Recurrent and intense sexual arousal from cross-dressing
Distinction for Delusions (2)
Break from reality: rainbow in sprinkler - didn't have rainbows 20 years ago, a belief held with strong conviction despite superior evidence to the contrary
Avoidant Personality Disorder
Avoid relationships due to a deep fear of rejection
Dependent PD (3)
Dependent on others Difficulting making decisions Stress-related health problems and mood disorders
Obsessive Compulsive PD (4)
Rigid: don't adapt or learn from mistakes Legos: white city Perfectionist My way is the only way: it has to be done perfect *strong preference, not irresistible urges
Psychopaths: Ed Gein (3)
1st American serial killer Grave robbing Women: made furniture from body parts
Ted Bundy (2)
Necrophilia (sex with corpses) Upper Class
John Wayne Gaesy (3)
Clown Abduct, sexually assault and bury kids under house People wrote him love letters
Jeffry Dahmer (3)
Strangle and have sex with young African American men: street prostitutes Long gaps in crime (common) Kept body parts around house
Antisocial PD (5)
Impulsive: hard time controlling behavior - prefrontal cortex doesn't function well with keeping you from acting on impulses Reckless, irresponsible Tell you anything to get what they want Deceitfulness: not much planning (not con artist) Since age 15 *Psychopaths can control imp…
Percent of criminal population thats diagnosed with Antisocial PD
about 50%
Dennis Rader (BTK Killer) (4)
Serial killer BTK: Bind Torture Kill Killed family and kept 13-yr-old girl alive saying "now you know whats going to happen to you" Security alarm installer
Lee Boyd Malvo & John Allen Muhammad (2)
Muhammad cultivated Malvo Shot and killed 13 random people
Narcissistic PD (5)
Grandiose sense of self-importance Lack of empathy Seek therapy: why do people keep overlooking my greatness? Fragile self-esteem Doesn't emerge til adulthood
Borderline PD (8)
Cutting Most treatable of the PDs: dialected behavioral therapy Unstable sense of self Fear of abandonment (real or imagined) Stress damages sense of security Shifts from happy to hateful and loathing fast (self and others) I hate you/I need you (unpredictable reactions a…
Histrionic PD (4)
Jenny Attention-seeking "I need to be the center of attention" Doesn't have to be positive attention like narcissistic Needs 5+ symptoms Rapidly shifting and shallow expression of emotions emotionality of story and not details Physical appearance to draw attention Suggestible Rela…
Alcohol Withdraw (4)
Most lethal of all withdraws Autonomic Hyperactivity (sweating, increased HR) Hallucinations Tonic-clonic siezures
Cannibis Withdraw (7)
Irritability, anger, aggression Nervousness, anxiety Sleep difficulty Decreased appetite Depressed Restless Physical Symptoms: stomach pain, shakiness, sweating, fever, chills, headache
Opioid Withdraw (9)
1. Dysphoric mood. 2. Nausea/vomiting. 3. Muscle aches. 4. Lacrimation or rhinorrhea 5. Pupillary dilation, piloerection, or sweating. 6. Diarrhea. 7. Yawning. 8. Fever. 9. …
Sedative, Hipnotic, or Anxiolytic Withdraw (8)
1. Autonomic hyperactivity (sweating or increased pulse rate) 2. Hand tremor. 3. Insomnia. 4. Nausea or vomiting. 5. Hallucinations 6. Psychomotor agitation. 7. Anxiety. 8. Grand mal sei…
Depressants (3 Drug Categories 1 Physiological Effect)
Opioids and Opiates Barbituates Benzodiazepines Reduce CNS activity
Stimulants (1 Physiological Effect 4 Drugs)
Increase CNS activity Amphetamine Ecstasy (MDMA) Cocaine Nicotine
Hallucinogens (4 Drugs)
Marijuana LSD Phencyclidine Mescalin
Marijuana LSD Phencyclidine Mescalin
Taken in lrger amounts or over longer period of time than was intended persistent desire or unsuccessful efforts to cut down craving recurrent use in situations where its physically hazardous Continued use despite knowledge of having problem caused or exacerbated by the substance
Path to Dependence (3 Steps)
Experimentation Routine Use Dependence (addiction)
Mesolymbic Reward Pathway (3 areas of brain)
Ventral Tegmental Area Nucleus Accumbens Prefrontal Cortex
Opiates (3 Drugs)
Opium Morphine Heroine
Heroin and reward pathway (4)
Dopamine in reward pathway: Ventral Tegmental Area Nucleus Accumbens Prefrontal Cortex
Opioids (1: Used for? 2 examples)
*For Pain Oxycotin Hydrocodone
Benzodiazepines (1 most important of 4)
*For Anxiety Depressant All end in -barbitol Xanax, roofies, etc.
Benzodiazepines and the brain (2)
Reward pathway Use GABA (calming)
Cocaine NT and organelle
More Dopamine Blocks MAO on Mitochondria
Heroin: NTs (2)
Blocks GABA so more Dopamine
Meth: NT's (3 + 1 organelle)
Releases Dopamine and blocks reuptake Releases Norepinephrine and blocks reuptake Releases Serotonin Blocks MAO
Releases Dopamine and blocks reuptake Releases Norepinephrine and blocks reuptake Releases Serotonin Blocks MAO
Every NT pathway studied Encourages addiction
LSD NT
LSD NT
Genetic Factors for Drug Use
Genes influence decisions to use Dependence is more determined by genetics
Guest Speaker: Plymorphisms and drug use/abuse (4)
Mutations of genetic codes During conception and inherited Harder to experience reward compared to others without the mutation of dopamine receptors Lead to higher rates of addiction
Guest Speaker: treatment for sensation seeking (2)
Adventure therapy: wilderness Behavioral Therapy: transfer addiction to something safe
Major Depressive Disorder (MDD) (6)
At least one of: Depressed mood most of day most days Loss of pleasure and interest And 5 symptoms: weight change sleep disturbance fatigue more irritable, jumpy
Persistent Depressive Disorder
mild but persistent symptoms for 2 years or more
2 Specifiers of MDD
Seasonal Affective Disorder Postpartum Depression
Bipolar: Depression can last... cf Manic can last...
Depression can last years Manic can last a few weeks at most
Bipolar I
At least 1 full manic episode Less frequent major depressive episodes cf Bipolar II
Bipolar II
No full manic episode More frequent major depressive episodes cf Bipolar I
No full manic episode More frequent major depressive episodes cf Bipolar I
Manic: lasts at least a week for most of day Hypomanic: lasts 4 days or less for most of day
Cyclothymic Disorder (4)
Below threshold for Bipolar At least 2 years Periods of hypomanic that don't meet criteria for hypomanic episode Periods of depressive symptoms that don't meet criteria for major depressive episode
Attributional Perspective (2) and Attribution Styles (3)
Learned Helplessness Vicious Cycle Internal: "My fault" Global: "I'm a screw-up" Stable: "I'm never going to get it together"
Biological Perspective: Bipolar brains
Have asymmetrical right hemispheres
Treatment for Bipolar (Behavioral Activation)
Engage in rewarding activities (Behavioral Activation) especially when depressed
Medications for Bipolar (2)
Lithium: mood stabilizer Prozac, Zoloft: Serotonin reuptake inhibitors
High Comorbidity of Bipolar and...
Borderline Personality Disorder
High Comorbidity of Bipolar and...
Asymptomatic: 53% Depressed: 32% Manic: 9%
Prevalence of MDD in Women and Men
Women: 21% Men 12%
Prevalence of Persistent Depressive Disorder
2-6%
Prevalence of: Bipolar I Bipolar II
Bipolar I: .4%-1.6% Bipolar II: .5%
Suicide Theory: 3 Aspects that put you at risk
Thwarted Belongingness "I'm alone" Perceived Burdensomeness "I'm a burden to others" "My death is worth more to people than my life" Capability for Suicide "I'm not afraid to die" have to work up to capability
Risk Factors for MDD (4)
Young adult Low SES Separated/divorced 2 short alleles on serotonin transporter gene

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