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Abnormal
For Final
114
Psychology
Undergraduate 2
12/15/2009

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Term
Sexual disorder
Definition
enduring pattern of sexual behavior (paraphilia, gender identity disorder)
Term
Sexual dysfunction
Definition
interruptions, disruptions in sexual function (ED, OD)
Term
Politically enforced ignorance
Definition
Politicians don't want to allow research on a controversial subject
Term
Dyspareunia
Definition
Persistent genital pain associated with sexual intercourse, male or female
Term
Vaginismus
Definition
Persistent involuntary spasm of the muscles of the outer third of the vagina, interferes with sexual function
Term
Hypothetical construct
Definition
Refer to events or states that reside within the person, are proposed to help understand or explain someone's behavior
Term
Operational definition
Definition
Procedure used to measure a theoretical construct
Term
Sensate focus
Definition
Sex therapy; couple spends time in quiet, relaxed setting, leaning to touch each other
Term
Paraphilia
Definition
Sexual attraction, arousal, and gratification brought about by unusual means or situations
Term
Fetishism
Definition
Male disorder; Unusual sexual pattern focused on body parts of women or inanimate objects
Term
Transvestism
Definition
gratification from wearing clothes of opposite sex
Term
Transsexualism
Definition
Gender identity disorder of adulthood; Deep abiding sense of identity in opposite biological sex
Term
Gender identity disorder
Definition
Rejection of their own sex, view themselves deeply as opposite sex
Term
Sex difference in Prevalence of Sexual Disorders
Definition
99.9% sufferers are MALE
Term
Prevalence of Transsexualism
Definition
1 in 30,000 men
1 in 100,000-200,000 women
Term
Etiology of Transsexualism
Definition
Physiological: Unusual exposure to prenatal male/female hormones
Psychological: Parents really wanted opposite sex child, so they treated them as such
Term
Treatment of Transsexualism
Definition
Psychotherapy: Psychoanalytic, Sexual inversion (Oedipal relationship to opposite parent)
Sex Change Surgery: Mostly focus on male to female change, now required to take hormones for 2 years before surgery
Term
Legal definition of Paraphilias
Definition
Interferes with the rights of others
Term
Etiological theories of Fetishism: Psychoanalytic
Definition
Psychosexual theory: Something went wrong in normal sexual development, so they have to use the object in replacement.

Oedipal complex

Displacement - divides sexual interest to shoes out of fear of his dad castrating him
Term
Etiological theories of Fetishism: Learning theory
Definition
Learned patterns of arousal, gratification
(Imagination of partners leads to actual partners (boy liking shoes and masturbating))

Reinforcement of unusual pattern and fear of normal sexual interaction
Term
Etiological theories of Fetishism: Brain functioning
Definition
Disruptions associated with attraction, patterns of sexual responding
Term
Transvestism vs. Transexualism
Definition
Transvestites do not identify with women, they just like wearing their clothes.
No deep abiding sense of identity with women
Term
Transvestism vs. Crossdressing
Definition
Transvestism - enduring pattern, required for arousal (for gay men usually)
Term
Etiological theories of Paraphilia: Learning theory
Definition
Conditioning; have to be introduced to it, and they learn it through example
Term
Characteristics of paraphilias
Definition
Enduring, exclusive (outweighs importance of normal sexual acts), act on or be distressed by
Term
Sexual sadism or masochism
Definition
Inflicting pain or humiliation on others, or on themselves
Term
Voyeurism
Definition
Sexual attraction, arousal and gratification brought on by watching other people have sex when they don't know you're watching

Against the law everywhere
Term
Exhibitionism
Definition
Sexual arousal, attraction and gratification brought on by exposing genitals to others

Almost entirely male, driving force is thinking the other person would be ashamed
Term
Psychoanalytic theory of Exhibitionism
Definition
Unresolved Oedipal conflict (suspicion that father may have castrated him, reaction of women give him assurance they are still there)
Term
Behavior theory of Exhibitionism
Definition
Early in adolescence, sexual attraction, arousal and gratification was learned that way
Term
Pedophilia
Definition
Sexual attraction, arousal, gratification focused on children

Strong negative effects on society
Term
Fixated pedophiles
Definition
Follows patterns of paraphilia; enduring, exclusive, long lasting, part of the person
Term
Regressed pedophiles
Definition
Under times of stress, move backward to a lower level of adjustment (like a child), engage in pedophilic behavior
Term
Treatment of paraphilias: Behavioral
Definition
Aversion therapy: shocks, punishments
Has to be highly motivated to change, fetishistic

Orgasmic reorientation: encouraging normal patterns of sexual activity. Little evidence of long term effects
Term
Treatment of Paraphilias: Hormonal interventions
Definition
Pharmacological: interruption of normal hormonal function. Sexual activity level goes down dramatically, can almost erase fetish.
**Not that effective on paraphilia that involves violation of rights of others. Can reduce behaviors.

Physical castration: Eliminate hormone, eliminate fetish. No one has tried it, but it has been threatened
Term
Frotteurism
Definition
Fully clothed person becomes sexually aroused by rubbing his genitals against other, nonconsenting people
Term
Gender identity
Definition
Our sense of being male or female
Term
Pseudohermaphroditism
Definition
Male child born without ability to produce male sex hormones, so their sexual organs look ambiguous
Term
Age effects
Definition
set of characteristics timed with age of person
Term
cohort effects
Definition
time you were born (baby boomer era, etc)
Term
Time effects
Definition
Time we ask questions and make judgments (how are things different from the 70s to now?)
Term
Dementia
Definition
Gradual and global deterioration of thinking and intellectual function
Term
Alzheimer's disease
Definition
Classic - slowly and gradually attacks abstract thinking, memory, and all other aspects of intellect

50-60% of all dementia patients have it

Genetic Contribution
Term
Huntington's disease
Definition
Dementia that causes deterioration of motor control, uncontrollable movements

Genetic disorder
Term
Vascular (Cerebral) Dementia
Definition
Accumulation of strokes in brain, each one destroys a bit, causing global deterioration
Term
AIDS
Definition
Fastest to cause dementia
CNS greatly affected
Term
Dementia vs. Depression
Definition
Depression is a vicious cycle, Dementia just goes in one direction
Term
Delirium
Definition
Sudden, rapid onset dementia

Drug intoxication/withdrawal, fever, metabolic disruptions, head injury
Term
Retrograde amnesia
Definition
loss of memory from events prior to onset of illness, or experience of traumatic event
Term
Anterograde amnesia
Definition
inability to learn or remember new material after a point in time
Term
Aphasia
Definition
Loss or impairment in language
Term
Apraxia
Definition
difficulty performing purposeful movements in response to verbal commands
Term
Agnosia
Definition
Sensory functions are unimpaired, but unable to identify source of stimulation (auditory, tactile, visual sensations)
Term
Dyskinesia
Definition
tics, tremors, jerky movements associated with dementia
Term
Chorea
Definition
involuntary muscle movements
Term
Lewy Bodies
Definition
Deposits in cells found in brain stem nuclei of Parkinson's Disease patients
Term
Anorexia Nervosa
Definition
Refusal to eat enough to maintain a normal, healthy body weight.
Causes an interruption in menstruation for at least 3 months.
BMI < 17.5
Fear of becoming fat.
Term
Course/Outcome of Anorexia
Definition
Emerges between 14-18
Some women recover from it (once they establish themselves, or get treatment)
People can DIE from it - 5-10% will starve themselves to death
Term
Etiology of Anorexia: Psychoanalytic
Definition
Psychosexual development: afraid of becoming an adult woman, symbolic way of holding back is to refuse eating.
Food symbolic of having sex (foreign object in body, abdomen swells)
Term
Etiology of Anorexia: Sociocultural
Definition
Origins in cultural expectations (media, parents, peers)
Women need to be concerned with thinness and attractiveness
Most prevalent in those trying to appeal to MEN
Term
Etiology of Anorexia: Behavioral
Definition
Phobia of food: conditioned learning (learns to avoid becoming fat by not eating)

Avoid things they are afraid of (avoid food at all costs)
Term
Etiology of Anorexia: Family Systems
Definition
Pulling self out of family of origin and redefine self in association with peers.

Family refuses change (makes adolescent girl too dependent on them), girl takes control of the only thing she can; how much and if she eats
Term
Etiology of Anorexia: Bioregulatory
Definition
Emerges from a brain defect regarding regulation of food consumption
Term
Restricting type of Anorexia
Definition
Starves self, maintains significantly lower than healthy body weight
Term
Binging/Purging type of Anorexia
Definition
Occasionally binge and purge, but keep the criteria for anorexia (significantly below normal body weight)
Term
Treatment for Anorexia: Inpatient Care
Definition
Forcibly get people to eat (tube down throat)
Behavior therapy (eat this, then you can watch TV)
Term
Treatment for Anorexia: Drug treatments
Definition
TCAs, SSRIs
Doesnt make disorder go away, but significantly improves cognitive symptoms
Term
Treatment of Anorexia: Cognitive/Behavior therapy
Definition
Teaching them skills, and then challenge irrational cognition (think clearly about things)
Term
Treatment of Anorexia: Family systems therapy
Definition
The girl is expressing the problem the family is having with important developmental changes

Doesnt focus on food, very effective
Term
Bulimia Nervosa
Definition
Repeated episodes of binge eating, followed by compensatory behaviors such as vomiting, laxatives, or excessive exercise.
Term
Symptoms of Bulimia
Definition
Only restrict food for limited periods of time (2-3 days)

Once they get down to 15% below normal, they binge on food. Feel guilty, purge food out to compensate.

Don't normally lose any weight.
Term
Etiology of Bulimia: Psychoanalytic
Definition
Birth control, afraid of sex
Term
Etiology of Bulimia: Sociocultural
Definition
Impulsivity
Hunger so strong resulting in a binge, then guilt
Pressures get translated to physiology and learning processes
Term
Etiology of Bulimia: Behavioral/Cognitive
Definition
Accidental pattern people get stuck in
Fear of being fat that is out of realistic range

They think behavior is adaptive, they need an education about the goals they are trying to accomplish
Term
Etiology of Bulimia: Bioregulatory
Definition
We are evolutionarily prepared to survive by binging and restricting.
Exitatory control center is fluxuating back and forth from extremes (binge and purge two extremes)
Term
Treatment of Bulimia: Cognitive/Behavioral
Definition
Therapy for certain hours a week for so many weeks, homework to do for it

People who see improvement early seem essentially cured
Term
Treatment of Bulimia: Drug Treatments
Definition
TCAs, SSRIs
Spend less time worrying about weight, less dietary restriction, less likely to engage in compensatory behavior
Term
Treatment of Bulimia: Promising Treatments, Interpersonal Therapy
Definition
Don't focus on the food or the ideas of body image

Focus on interactions with other people, ability to make strong emotional connections
Term
Treatment of Bulimia: Promising Treatments, Dialectical Behavioral therapy
Definition
When the client trusts the therapist and is motivated to change, they can start making progress
Term
Bulimia - Purging type
Definition
Classic bulimia
Engage in use of vomiting or laxatives to get rid of food
Term
Bulimia - Non purging type
Definition
Restrict, binge, feel guillty, engage in exercise

Intermediate between purging type and Binge Eating disorder
Term
Binge Eating Disorder
Definition
Restriction and binging, but no psychological reaction (not guilty about binging)
Term
Eating Disorder NOS (not otherwise specified)
Definition
I think the person has a problem, but it doesnt quite fit the categories
Term
Sex differences in prevalence: eating disorders
Definition
Many more women than men - Social predators men don't face, differences in brain construct
Term
Amenorrhea
Definition
Cessation of at least 3 consecutive menstrual cycles
Term
Introceptive awareness
Definition
recognition of internal cues, including hunger and various emotional state (predicts development of eating disorders 2 years in the future)
Term
Externalizing Disorders
Definition
Disorder of childhood. Acting out on his/her environment.

UNDERCONTROLLED

ADHD, Oppositional Defiant Disorder (ODD), Conduct Disorder
Term
Internalizing disorders
Definition
Information they take in and how it affects his/her self.

OVERCONTROLLED

Separation Anxiety, Phobias, Depression
Term
Behavioral Activation System/Behavioral Inhibition System
Definition
BAS - to want to act upon your environment, feel rewarded by it (high), or distressed, fearful of acting on environment (low)

BIS - disengage, stop in bad situation, controls behavior (high), or less likely to control behaviors (low)
Term
Symptoms of externalizing disorders
Definition
Involve violations of age-appropriate social rules; disobeying parents or teachers, violating social norms, violating the law

Some misconduct is normal, perhaps healthy

Often negative, angry, aggressive, impulsive (Low BIS)
Term
Adolescent limited behavior
Definition
behavior that ends along with the teen years
Term
Life persistent behavior
Definition
antisocial behavior that extends into adult life
Term
Executive functioning
Definition
internal direction of behavior
Term
ADHD
Definition
hyperactivity, attention deficit, impulsivity. Best treated with medication. Often comorbid with Oppositional Defiant Disorder.
Term
Oppositional Defiant Disorder (ODD)
Definition
Negative, hostile, defiant behavior.
Minor transgression refusal; refusing to obey adult request, arguing, acting angry. Requiring psychological treatment (psychotherapy)
Term
Conduct disorder (CD)
Definition
Persistent pattern of serious rule violation (juvenile delinquency). Most violations are illegal (assault or robbery)

Juvenile delinquency is a legal classification, not a mental health term
Term
Frequency of Externalizing Disorders
Definition
from 2 to 10 times as many boys as girls have an externalizing disorder

Prevalence declines with age, but declines much earlier for girls than boys
Term
Etiology of Childhood disorders: Biological
Definition
Temperament: easy or difficult

ADHD genetic contributions
Term
Etiology of Childhood disorders: Social factors
Definition
Socialization: process of shaping children's behavior to conform with expectations of society.

Parenting styles: discipline, authoritative parenting

Coercion: positively reinforcing a child's misbehavior by giving into child's demands. Child then negatively reinforces parents by ending behavior upon capitulation
Term
Family Predictors of childhood disorders
Definition
Low income
Overcrowding at home
Maternal depression
Paternal antisocial behavior
Conflict between parents
Removal of child from home
Term
Treatment of Childhood disorders: Psychostimulants
Definition
Ritalin and Adderall

Effects on attention and learning are less certain, can improve some symptoms

Minor side effects - sleep differences
Major side effects - motor tics, slowed physical growth
Term
Treatment of childhood disorders: Adolescents
Definition
Behavioral family therapy - teaches parents to be very clear and specific about expectations for children's behavior and reward positively for good actions while mildly punishing misbehavior.

Multisystemic therapy - combines family therapy and behavioral interventions

Residential programs - adolescents with serious conduct problems or especially troubled families are put in a group home and treated
Term
Recidivism
Definition
Repeated behavioral offenses
Term
Developmental deviations
Definition
significant departure from age-appropriate norms in specific areas of functioning (dyslexia, dysgraphia, dyscalulia)
Term
Separation anxiety disorder
Definition
persistent and excessive worries about the safety of an attachment figure, fears of getting lost or kidnapped, etc.
Term
School refusal
Definition
Refusal to go to school, accompanied by stomachaches or headaches (can be traced to separation anxiety)
Term
Emotion regulation
Definition
process in which children learn to identify, evaluate, and control their feelings based on the reactions, attitudes, and advice of their parents and others in their social world
Term
Pica/Rumination disorder
Definition
Excessive eating of nonnutritive substances (dirt, paint).

Repeated regurgitation and rechewing of food
Term
Tourette's disorder
Definition
Repeated motor and verbal tics, interfere substantially with life functioning
Term
Selective mutism/Reactive attachment disorder
Definition
Consistent failure to speak in certain situations.

Severely disturbed and developmentally inappropriate social relationships
Term
Enuresis/Encopresis
Definition
inappropriately controlled urination and defecation, respectively. Treated with bell and pad
Term
The Insanity Defense
Definition
a. Unable to tell right from wrong, product of an irresistable impulse, product of a mental disease
b. At the time of the crime
c. Once it's done, it's done
d. Very few cases
e. Guilty but mentally ill (alternative); whether crime was committed, or decide if person was psychotic
Term
Competency to stand trial
Definition
a. At the time of the Trial
b. Subject to period review (check back every 90 days to see if still incompetent)
c. Psychotic, demented, mentally retarded
Term
Civil Commitment
Definition
a. Not criminal
b. Too dangerous to selves/others to have complete freedom - prevention technique
c. Period review REQUIRED
d. 2 physicians or 1 physician, 1 psychologist to do review
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