Psychological Problems & Culture

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Questions and Answers

Which of the following traits is NOT typically associated with Antisocial Personality Disorder?

  • Empathy towards others (correct)
  • Irresponsibility
  • Disregard for social rules
  • Poor impulse control

What is one of the common personality disorders that affects about 4% of people?

  • Antisocial Personality Disorder (correct)
  • Borderline Personality Disorder
  • Histrionic Personality Disorder
  • Narcissistic Personality Disorder

Which of these characters could be considered an example of Antisocial Personality Disorder?

  • Peter Pan
  • Winnie the Pooh
  • Harry Potter
  • Ted Bundy (correct)

What treatment approach might be applied to children with Conduct Disorder?

<p>Cognitive-behavioral therapy to interpret interpersonal interactions (A)</p> Signup and view all the answers

What term is used to refer to a subset of Antisocial Personality Disorder that is characterized by specific traits like manipulation?

<p>Machiavellianism (A)</p> Signup and view all the answers

What is a key characteristic of anorexia nervosa?

<p>Intense fear of gaining weight (B)</p> Signup and view all the answers

What distinguishes binge-eating disorder from bulimia nervosa?

<p>The absence of compensatory behaviors (D)</p> Signup and view all the answers

Which statement is true regarding the DSM-5 definition of anorexia nervosa?

<p>It includes a disturbance in body shape perception (D)</p> Signup and view all the answers

What is the frequency requirement for diagnosing bulimia nervosa?

<p>At least weekly for 3 months (C)</p> Signup and view all the answers

What common feature do anorexia nervosa and bulimia nervosa share?

<p>Both include intense preoccupation with body weight (D)</p> Signup and view all the answers

Which of the following eating disorders is characterized by recurrent binge-eating without compensatory behavior?

<p>Binge-eating disorder (C)</p> Signup and view all the answers

Which demographic group shows a higher prevalence of eating disorders compared to cisgender individuals?

<p>Transgender and nonbinary people (D)</p> Signup and view all the answers

Which of the following is not included in the DSM-5 diagnoses of eating disorders?

<p>Obesity (D)</p> Signup and view all the answers

What distinguishes anorexia nervosa from bulimia nervosa?

<p>Refusal to maintain a healthy body weight (A), Presence of intense fear of gaining weight (B)</p> Signup and view all the answers

Which of the following is a common feature of binge-eating disorder?

<p>Recurrent episodes of binge eating (B)</p> Signup and view all the answers

What does the DSM-5 include as a new diagnosis related to eating disorders?

<p>Binge-eating disorder (C)</p> Signup and view all the answers

Which statement about the prevalence of eating disorders is accurate?

<p>Much higher prevalence is reported among women than men (C)</p> Signup and view all the answers

Which characteristic is NOT typically associated with bulimia nervosa?

<p>Refusal to maintain a healthy body weight (B)</p> Signup and view all the answers

What type of emotional response is commonly experienced during binge episodes in binge-eating disorder?

<p>Disgust and lack of control (C)</p> Signup and view all the answers

How does anorexia nervosa differ in diagnosis according to the DSM-5 compared to previous editions?

<p>Amenorrhea is not required for diagnosis anymore (C)</p> Signup and view all the answers

What constitutes 'Other specified feeding or eating disorder' in the context of eating disorders?

<p>Partial syndromes of eating disorders (D)</p> Signup and view all the answers

Which treatment approach for autism is based on operant conditioning?

<p>Behavioral therapy (D)</p> Signup and view all the answers

What is a characteristic of Asperger's Disorder?

<p>Impairment in social interaction (C)</p> Signup and view all the answers

Which medication class is known to potentially reduce repetitive behaviors and aggression in autism?

<p>SSRIs (A)</p> Signup and view all the answers

How does Avoidant Personality Disorder differ from Social Anxiety Disorder?

<p>Avoidant Personality Disorder fears criticism while Social Anxiety Disorder fears social situations. (D)</p> Signup and view all the answers

What is a key characteristic of Dependent Personality Disorder?

<p>Fear of abandonment (D)</p> Signup and view all the answers

Which of the following does NOT characterize Obsessive-Compulsive Personality Disorder?

<p>Obsessions or compulsions (B)</p> Signup and view all the answers

Which personality disorder involves an extreme need for reassurance and fear when alone?

<p>Dependent Personality Disorder (B)</p> Signup and view all the answers

What symptom is commonly associated with Paranoid Personality Disorder?

<p>Generalized suspicion of others (D)</p> Signup and view all the answers

What was one of the primary goals in the treatment of schizophrenia?

<p>Reduce positive psychotic symptoms (C)</p> Signup and view all the answers

What class of medication was first introduced in the 1950s for treating schizophrenia?

<p>Antipsychotic medications (D)</p> Signup and view all the answers

Which of the following is associated with the side effects of phenothiazines?

<p>Tardive dyskinesia (B)</p> Signup and view all the answers

Which treatment approach is suggested for addressing neurocognitive deficits in schizophrenia?

<p>Cognitive remediation (B)</p> Signup and view all the answers

In addition to antipsychotic medications, what therapy has been shown to reduce both positive and negative symptoms of schizophrenia?

<p>Cognitive-behavioral therapy (B)</p> Signup and view all the answers

Which intervention aims to improve functional outcomes in individuals with schizophrenia?

<p>Assertive community treatment (A)</p> Signup and view all the answers

What is a key limitation in the treatment of schizophrenia mentioned in the content?

<p>Addressing neurocognitive deficits remains inconsistent (B)</p> Signup and view all the answers

What is one of the primary symptoms of ADHD concerning attention?

<p>Difficulty with Type 2 attention (D)</p> Signup and view all the answers

Which of the following is a possible treatment to address negative symptoms of schizophrenia?

<p>Cognitive-behavioral therapy (D)</p> Signup and view all the answers

Which statement best reflects the prevalence of ADHD among genders?

<p>Approximately 70% of those diagnosed are boys. (C)</p> Signup and view all the answers

What could be a direct consequence of untreated ADHD in childhood?

<p>Increased likelihood of academic underachievement (B)</p> Signup and view all the answers

Which of the following is NOT considered a cause of ADHD?

<p>Food intolerance (C)</p> Signup and view all the answers

What type of medication is commonly prescribed for ADHD?

<p>Stimulants (C)</p> Signup and view all the answers

Which brain area is associated with impaired attention in ADHD?

<p>Prefrontal cortex (D)</p> Signup and view all the answers

What are the proposed subtypes of ADHD according to Behavior Disinhibition Disorder?

<p>Inattentive Type, Pure Type, Aggressive Type (B)</p> Signup and view all the answers

Which statement about ADHD symptoms is accurate regarding their persistence?

<p>50-60% of symptoms continue into adulthood. (D)</p> Signup and view all the answers

Flashcards

Antisocial Personality Disorder

A personality disorder characterized by disregard for social rules and the rights of others. Individuals with this disorder often engage in irresponsible behavior, lack remorse, and manipulate others for personal gain. They may also struggle with impulse control and show aggressive tendencies.

The Dark Triad

A cluster of personality traits that often co-occur. The triad includes narcissism, psychopathy, and Machiavellianism, all of which involve a lack of empathy and a focus on achieving power.

Narcissistic Personality Disorder

A personality disorder characterized by a grandiose sense of self-importance, a need for admiration, and a lack of empathy. Individuals with NPD often have a fragile sense of self-worth and may be overly sensitive to criticism.

Machiavellianism

The tendency to view others as tools or resources to be manipulated in order to achieve one's own goals. This trait is often associated with a lack of empathy, deceitfulness, and a focus on personal gain.

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Conduct Disorder

A behavioral disorder in childhood characterized by aggression, rule violations, and disregard for others' feelings. It can be a precursor to Antisocial Personality Disorder in adulthood.

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First-generation antipsychotics

The initial antipsychotic medicines, introduced in the 1950s, aimed to reduce the positive symptoms associated with schizophrenia.

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Phenothiazines

These medications, like chlorpromazine (Thorazine), revolutionized the treatment of schizophrenia by effectively reducing hallucinations and delusions.

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Tardive dyskinesia

A debilitating side effect of older antipsychotics, marked by involuntary movements of the face, body, and limbs.

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Cognitive-behavioral therapy (CBT)

A type of therapy that focuses on modifying negative thoughts and behaviors that contribute to schizophrenia symptoms.

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Negative symptoms of schizophrenia

These are the symptoms that reflect a decrease or loss of normal functions, like motivation, social interaction, and emotional expression.

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Positive symptoms of schizophrenia

These are the symptoms that involve an excess or distortion of normal functions, like hallucinations, delusions, and disorganized thought and speech.

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Second-generation antipsychotics

These newer medications aim to reduce both positive and negative symptoms of schizophrenia, offering more comprehensive treatment.

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Cognitive remediation

Specialized interventions that aim to improve cognitive abilities, often focusing on memory, attention, and problem-solving.

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Lovaas's Operant Conditioning

A behavioral therapy method, often used for children with autism, that utilizes operant conditioning techniques to teach specific skills and behaviors.

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SSRIs for Autism

Medication classified as selective serotonin reuptake inhibitors (SSRIs) used to manage some symptoms of autism, such as repetitive behaviors and aggression.

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Neuroleptics for Autism

A type of medication that can help reduce certain behaviors associated with autism, such as rocking, self-harm, and repetitive actions.

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Asperger's Disorder

A condition that involves significant difficulties in social interaction and a rigid adherence to routines and interests, but without limitations in communication or intellectual ability.

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Avoidant Personality Disorder

A personality disorder characterized by hypersensitivity to criticism and rejection, fear of close relationships, and a tendency toward social isolation.

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Dependent Personality Disorder

A personality disorder marked by a strong need for others' approval and a tendency to rely heavily on others for decision making and emotional support.

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Obsessive-Compulsive Personality Disorder

A personality disorder distinguished by a relentless pursuit of order, perfection, and control. This can manifest in excessive organization, rigid adherence to rules, and difficulty relaxing.

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ADHD and Types of Attention

Two types of attention with ADHD: Type 1 is automatic, like noticing a flash of light. Type 2 is focused, like reading a book. ADHD can cause problems with engaging Type 2 to override Type 1.

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ADHD Subtypes

ADHD has 3 subtypes: Combined, Predominantly Inattentive, and Predominantly Hyperactive-Impulsive. Each has unique symptom clusters but impacts a person's ability to function.

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Onset and Persistence of ADHD

ADHD symptoms must have shown up in childhood, before age 12, with 50-60% experiencing symptoms throughout adulthood.

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Goal-Directed Persistence and ADHD

A key difficulty in ADHD is with a particular type of sustained attention, called goal-directed persistence. This means sticking to a task, even when it's challenging.

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Causes of ADHD

ADHD can't be blamed on simple things like diet or food intolerance; focusing on underlying brain functioning and genetic factors is crucial.

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Stimulant Medications for ADHD

Medications like Ritalin and Adderall are often effective for ADHD, impacting dopamine and norepinephrine in the brain to improve focus and impulse control.

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Side Effects of ADHD Medication

ADHD medications can have side effects like increased anxiety or disrupted sleep, requiring careful monitoring and adjustments.

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Impact and Management of ADHD

ADHD can affect relationships and opportunities, but early intervention and support can really help individuals manage their symptoms and thrive.

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Anorexia Nervosa

An eating disorder characterized by excessive weight loss, intense fear of gaining weight, distorted body image, and a refusal to maintain a healthy body weight.

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Bulimia Nervosa

An eating disorder characterized by recurrent episodes of binge eating (consuming large amounts of food in a short period of time) followed by compensatory behaviors such as purging (vomiting, laxatives, excessive exercise) to prevent weight gain.

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Binge-Eating Disorder

An eating disorder defined by recurrent episodes of binge eating without regular compensatory behaviors.

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Other Specified Feeding and Eating Disorder

Eating disorders that do not meet the full criteria for anorexia nervosa, bulimia nervosa, or binge-eating disorder, but display significant eating disturbances.

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Body Dysmorphia

A subjective perception of one's body as too large, even when it is not.

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Fear of Weight Gain

A significant preoccupation with weight and experiencing an intense fear of gaining weight.

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Body Image Distortion

A disorder characterized by a significant disturbance in the way one's body shape is experienced and a misperception of actual body shape.

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Lanugo

A symptom of anorexia nervosa, usually characterized by fine, downy hair growth, particularly on the arms, back, and legs.

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Study Notes

Psychological Problems & Culture

  • Culture affects how we view psychological problems, as seen in examples like Otaku.
  • Some view otaku as problematic, others do not.
  • Culture-bound disorders include Hikikomori (Japan), Dhat syndrome (South Asia), eating disorders (Western), Koro (Southern China), Ataque de nervios (Puerto Rico), Amok (Malaysia & SE Asia), Hysteria (mid-1800's Europe), Frigophobia (China), Susto (Latin America), and Voodoo death (Africa), and Latah (SE Asia, Siberia), Malgri (Australia).
  • Universal psychological problems include depression, social anxiety, schizophrenia, and suicide.

Treatments of Schizophrenia

  • Past treatments included lobotomies, insulin coma therapy, electroconvulsive therapy (ECT), and warehousing in hospitals.
  • Current treatments focus on reducing positive symptoms (psychotic symptoms) through antipsychotic medications.
  • Early medications were phenothiazines (e.g., chlorpromazine, Thorazine), followed by second-generation antipsychotics.
  • Cognitive-behavioral therapy also helps reduce positive and negative symptoms.
  • Negative symptoms, neurocognitive deficits and other lingering problems can make it difficult to return to community functioning.

Schizophrenia: Understanding

  • Understanding schizophrenia involves considering whether acute vs. chronic matters, and if acute psychosis is a "spiritual emergency" requiring "new self-construction.”
  • Schizophrenia has short-term positive effects with brain-altering medications but potential long-term negative effects.
  • Biological clues to schizophrenia include genetics, abnormalities in brain structures (enlarged ventricles, smaller prefrontal cortex), neurotransmitter imbalances (dopamine), birth complications, and exposure to viruses.

Neurodevelopmental Disorders: ADHD

  • ADHD is characterized by inattention, hyperactivity, and impulsivity (behavior disinhibition).
  • Three subtypes: combined, predominantly inattentive, and predominantly hyperactive-impulsive.
  • Associated factors include academic challenges, learning disabilities, communication problems, health problems, sleep issues, and potential for conduct disorders or substance abuse.
  • Possible causes include genetics, neurological immaturity, prenatal and birth complications, environmental toxins, stress, and family disruptions.
  • Treatments include stimulants (e.g., Ritalin, Adderall, Dexedrine).

Autism Spectrum Disorder

  • Autism spectrum disorder (ASD) is characterized by impairments in social interaction, communication, and restricted, repetitive behaviors and interests.
  • Early diagnosis is often critical for therapies such as Lovaas's operant conditioning approach.
  • Intellectual ability and autism often correlate and 50% may never develop useful speech.
  • Potential indicators include intellectual disability, lack of speech development before age 6, and various levels of functioning.
  • No correlation exists between vaccination and autism.

Personality Disorders (Dramatic, Erratic, Emotional)

  • Histrionic personality disorder involves excessive emotionality.
  • Narcissistic personality disorder involves grandiose feelings of self-importance and superiority.
  • Antisocial personality disorder is characterized by disregard for social rules and norms and little or no remorse.
  • Borderline personality disorder is associated with instability of mood, identity, and relationships, fear of abandonment, impulsivity, suicidal gestures, self-harm, anger control issues, and splitting.

Eating Disorders

  • Eating disorders, such as anorexia and bulimia, are often characterized by a preoccupation with body shape and weight, and a refusal to maintain a healthy body weight.
  • These disorders can be associated with intense fear of gaining weight and misperception of body shape.
  • Cultural factors, like media's portrayal of ideal body types, may influence eating disorders.
  • Associated biological factors include genetics, neurotransmitter imbalances, and brain function.

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