Psychology: Confidentiality and Prognosis Factors
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Questions and Answers

What was found regarding the employee's physical condition during the examination?

  • Some stress in the shoulder muscles (correct)
  • No illness was detected whatsoever
  • Clear signs of factitious disorder
  • Weakness in both hands due to neurological damage

What type of view on eating disorders does the treatment approach align with?

  • Biological-neurological
  • Psychological-cognitive
  • Psychological-behavioral (correct)
  • Psychological-psychoanalytic

Which statement is accurate regarding factitious disorder?

  • Individuals exert significant effort to appear unwell
  • It always presents with clear neurological symptoms
  • It is characterized by a desire for physical gain
  • It involves seeking unnecessary medical testing (correct)

Which of the following is a characteristic of individuals with factitious disorder?

<p>They consciously produce symptoms without physical gain (B)</p> Signup and view all the answers

Is it typical for individuals to have bizarre thoughts without being diagnosed with OCD?

<p>Yes, individuals can have such thoughts without a diagnosis (C)</p> Signup and view all the answers

Which term describes the approach that views each sexual disorder as unique and not overlapping with others?

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

Which statement regarding schizophrenia is inaccurate?

<p>The age of onset is earlier for women (B)</p> Signup and view all the answers

Which characteristic is commonly associated with dissociative identity disorder?

<p>History of severe child abuse (C)</p> Signup and view all the answers

Which symptom is not typical of dissociative disorders?

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

What can exacerbate symptoms of schizophrenia?

<p>Significant emotional stress (B)</p> Signup and view all the answers

Which option best describes a common response in patients with severe child abuse history?

<p>Difficulty in emotional regulation (C)</p> Signup and view all the answers

Which symptom may be experienced by someone with anxiety disorders?

<p>Feeling of impending doom (A)</p> Signup and view all the answers

Which statement about identity disturbance in dissociative disorders is false?

<p>Identity disturbance can be stable over time. (D)</p> Signup and view all the answers

Which of the following describes an emotion that is experienced relatively immediately?

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

What is a key indicator of poor prognosis in patients with schizophrenia?

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

Which neurotransmitter's neurons die in Parkinson's disease?

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

When examining environmental factors in a patient's disorder, which component is least likely to be included?

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

In the biopsychosocial model, which of the following contributions is directly focused on psychological aspects?

<p>Individual therapy (B)</p> Signup and view all the answers

What type of symptoms are characterized by low dopamine in the prodromal phase of schizophrenia?

<p>Negative symptoms (B)</p> Signup and view all the answers

Which type of mood can be described as sustained or lasts for a longer period?

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

What aspect will an interpersonal therapist NOT examine when treating depressive disorders?

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

Which of the following phases of schizophrenia is associated with positive symptoms?

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

Which of the following emotions can be described as pervasive and sustained among workers fearing financial loss?

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

What condition is Ed most likely experiencing?

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

Which of the following factors should not be considered to help distinguish Ed's condition?

<p>Psychometrician conducting the Mini-Mental Status Exam (D)</p> Signup and view all the answers

What disorder is Dora most likely diagnosable with, considering her behavior?

<p>Social (Pragmatic) Communication Disorder (D)</p> Signup and view all the answers

Considering the biological perspective of psychopathology, what is a common symptom reported by individuals with schizophrenia?

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

In assessing Dora's actions, which of the following behaviors is concerning?

<p>Taking gifts from strangers (D)</p> Signup and view all the answers

Which of the following symptoms is least likely to indicate the presence of a somatic symptom disorder?

<p>Regular participation in physical activities (B)</p> Signup and view all the answers

What key factor differentiates conversion disorder from malingering?

<p>Intentionality in symptom production (B)</p> Signup and view all the answers

What might be a consequence of Dora's upbringing regarding her social behavior?

<p>Overfriendliness and risk-taking with strangers (B)</p> Signup and view all the answers

What is one commonly held misconception about the development of PTSD?

<p>All individuals will develop PTSD after trauma. (C)</p> Signup and view all the answers

Which eating disorder is least associated with purging behaviors?

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

What is a significant theory regarding depression and serotonin levels?

<p>Depleted serotonin levels may contribute to depressive symptoms. (D)</p> Signup and view all the answers

Under which perspective can the theory of depleted serotonin levels in depression be classified?

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

Which personality disorders are characterized by more extreme traits compared to normal personality styles?

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

What is a common symptom in clients taking certain substances that may affect appetite?

<p>Increase in appetite (C)</p> Signup and view all the answers

Which of the following does NOT relate to societal norms within the context of mental health?

<p>Resilience in recovery (D)</p> Signup and view all the answers

What is a potential outcome of experiencing traumatic events according to psychological theories?

<p>Resilience can lead to positive outcomes (B)</p> Signup and view all the answers

Which condition does NOT necessarily meet the legal definition of mental illness?

<p>Diurnal only (B)</p> Signup and view all the answers

What is a symptom exhibited by the 12-year-old girl after her mother's death?

<p>Difficulty focusing on school (D)</p> Signup and view all the answers

What does the 12-year-old girl’s father report about her eating habits?

<p>She has lost 10 lbs since her mother’s passing. (D)</p> Signup and view all the answers

When treating patients with schizophrenia who attribute hallucinations to external experiences, which theory is being followed?

<p>Cognitive Behavioral Therapy (A)</p> Signup and view all the answers

Which type of enuresis is associated with a mental illness like psychosis?

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

How might the 12-year-old girl's behavior of focusing on memorabilia impact her mental health?

<p>It may lead to regression and difficulty moving on. (C)</p> Signup and view all the answers

What is the likely emotional state of the girl following her mother's death?

<p>Experiencing distress due to her loss (C)</p> Signup and view all the answers

What aspect of the girl's life has significantly changed after her mother’s death?

<p>She is not sleeping well. (D)</p> Signup and view all the answers

Flashcards

What is a Depressed Affect?

A depressed affect refers to a temporary, immediate, and observable display of sadness, negativity, or hopelessness. It's a fleeting emotional state.

What is a Depressed Mood?

A depressed mood is a sustained and pervasive feeling of sadness, worthlessness, or hopelessness that lasts for a longer period.

What are Negative Symptoms in Schizophrenia?

Negative symptoms in schizophrenia involve a decrease in normal emotions, thoughts, and behaviors. These include flat affect, alogia (poverty of speech), avolition (lack of motivation), anhedonia (inability to experience pleasure), and social withdrawal.

What is the Prodromal Phase of Schizophrenia?

The prodromal phase is the early stage of schizophrenia, characterized by subtle changes in behavior and personality, such as social withdrawal, difficulty concentrating, and unusual thoughts or beliefs.

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What is a Late Age of Onset in Schizophrenia?

Schizophrenia usually appears in late adolescence or early adulthood. A later age of onset suggests a potentially better prognosis, meaning the individual might have a more positive outcome.

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What is an Acute Onset of Schizophrenia?

An acute onset of schizophrenia means the symptoms appear suddenly and severely.

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What is the Biopsychosocial Model in Psychology?

The biopsychosocial model views mental disorders as arising from a complex interplay of biological factors (genetics, neurochemistry), psychological factors (thoughts, feelings, behaviors), and social factors (culture, environment, relationships).

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What is the Role of Dopamine in Parkinson's Disease?

Parkinson's disease is caused by the death of neurons that produce dopamine, a neurotransmitter involved in movement control.

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What does an Interpersonal Therapist Look At in Depression?

Interpersonal therapy helps individuals understand how their relationships and social interactions contribute to their depression. It focuses on improving communication, coping skills, and social support.

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What is the Role of Serotonin in Mood?

Serotonin is a neurotransmitter that plays a role in regulating mood, sleep, appetite, and other functions. Imbalances in serotonin levels are linked to depression and other mood disorders.

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Malingering

Intentionally faking or exaggerating symptoms for personal gain (e.g., avoiding work, getting financial benefits).

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Conversion Disorder

A psychological condition where emotional distress manifests as physical symptoms (e.g., paralysis, blindness) with no underlying medical cause.

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Illness Anxiety Disorder

Excessive worry and fear of having a serious illness, despite reassurance from medical professionals.

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Somatic Symptom Disorder

Experiencing physical symptoms (pain, fatigue, etc.) that cause significant distress and disrupt daily life.

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Mini-Mental Status Exam (MMSE)

A brief mental test to assess cognitive function, including memory, attention, and language.

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Schizophrenia

A mental disorder characterized by distorted perceptions of reality (hallucinations), illogical thoughts, and disorganized behavior.

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Biological Perspective of Psychopathology

Explains mental disorders in terms of biological processes (genetics, brain structure, neurochemicals).

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Auditory Hallucinations

Hearing things that are not there, a common symptom in schizophrenia.

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Categorical Approach

This approach to diagnosis treats mental disorders as distinct categories, with clear boundaries between them. It assumes each disorder is unique and does not overlap with others.

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Dimensional Approach

This approach to diagnosis focuses on the degree or intensity of a disorder's symptoms. It recognizes that disorders exist on a spectrum and can vary in severity.

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Schizophrenia Onset Age

Schizophrenia often appears in late adolescence or early adulthood. Women typically experience a later age of onset compared to men.

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Dissociative Identity Disorder

This disorder is characterized by the presence of two or more distinct identities or personality states. Individuals with this disorder may experience memory gaps, changes in behavior, and a sense of being detached from their own thoughts and feelings.

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Dissociative Identity Disorder & Child Abuse

A history of severe child abuse is a common factor associated with the development of Dissociative Identity Disorder.

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Dissociative Identity Disorder Symptoms

Common symptoms associated with Dissociative Identity Disorder include substance abuse, hallucinations, and delusions. However, delusions are not necessarily present in every case.

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Mourning vs. Dissociative Identity Disorder

Mourning, a natural response to loss, is different from dissociative identity disorder. Mourning involves sadness and grief, while dissociative identity disorder involves distinct personalities.

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Delusion in Dissociative Identity Disorder

Delusions, although common in other disorders, are not necessarily present in all cases of Dissociative Identity Disorder.

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What is the focus of 'body image' challenging therapies?

They challenge the way individuals view their bodies, helping them to develop a more positive self-perception. These therapies aim to address harmful beliefs and negative feelings associated with one's body.

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What is a 'factitious disorder'?

A mental health condition where a person intentionally fakes or exaggerates symptoms of illness to gain attention or sympathy from medical professionals. They don't actually have the illness they're pretending to have.

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What is the 'psychological-behavioral' view of eating disorders?

This view sees eating disorders as learned behaviors shaped by environmental factors and personal experiences. It emphasizes the role of reinforcement, punishment, and conditioning in the development and maintenance of these disorders.

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Can people have bizarre thoughts without having OCD?

Yes, it's normal to have occasional strange or intrusive thoughts that are not necessarily indicative of OCD. OCD involves obsessive thoughts and compulsive behaviors that are uncontrollable and distressing.

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What does a physical exam reveal about the employee?

The exam reveals an inconsistency between the symptoms reported and the objective findings, suggesting the employee may be feigning illness. This inconsistency raises suspicion of malingering or factitious disorder.

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Enuresis

A medical term for bedwetting, which can be categorized as either monosymptomatic (only bedwettting) or nonmonosymptomatic (bedwetting along with other symptoms).

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Mental Illness: Legal Definition

Criteria for determining if a mental health issue meets legal standards, often used in legal proceedings.

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Symptoms of Grief

Common reactions to loss, including sleep disturbances, weight changes, and difficulty focusing.

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Therapist's Perspective on Schizophrenia

A therapist's approach to treating schizophrenia may be influenced by different theories like behavioral, psychoanalytic, or family systems.

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Attributing Internal Experiences to External Factors

A treatment approach where a therapist helps a person with schizophrenia view their internal experiences (hallucinations) as caused by external influences.

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Behavioral Therapy

A therapeutic approach that focuses on changing behaviors through techniques like reinforcement and conditioning.

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Psychoanalytic Therapy

Focuses on uncovering unconscious conflicts and patterns rooted in early childhood experiences.

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Family Systems Therapy

A therapeutic approach that views the individual within a family context and addresses how family dynamics contribute to mental health issues.

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What is a key characteristic of PTSD?

A defining feature of PTSD is the presence of significant impairment in an individual's ability to function in daily life. This impairment can manifest in various areas, such as work, relationships, and overall well-being.

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What is a defining characteristic of bulimia nervosa?

Bulimia nervosa is characterized by recurrent episodes of binge eating, followed by compensatory behaviors such as purging (induced vomiting or misuse of laxatives) to prevent weight gain.

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What is a possible biological explanation for depression?

One popular theory suggests that depression may be linked to depleted levels of serotonin, a neurotransmitter crucial for regulating mood and other functions.

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What are the effects of substances on appetite?

Some substances can lead to an increase in appetite. This effect indicates that the substance may impact pathways in the brain that control hunger and satiety.

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What are personality disorders characterized by?

Personality disorders are marked by inflexible and unhealthy personality traits that significantly impair functioning and social relationships. These traits often deviate significantly from societal norms.

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What is the biological perspective on depression?

The biological perspective attributes depression primarily to imbalances in neurotransmitters and brain structures. It suggests that genetic predispositions and physiological factors play a significant role.

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What is the main difference between personality disorders and normal personality styles?

Personality disorders are characterized by significant deviations from societal norms and adaptive functioning. They involve inflexible and unhealthy personality traits that cause substantial distress and impairment. Normal personality styles, however, are more flexible and adaptable, with traits that generally fall within the range of social expectations.

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What is the main focus of the biopsychosocial model?

The biopsychosocial model views mental health issues as a complex interplay of biological factors (genetics, neurochemistry), psychological factors (thoughts, feelings, behaviors), and social factors (culture, environment, relationships). It emphasizes the interconnectedness of these domains in shaping mental well-being.

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Study Notes

Confidentiality in Therapy

  • Confidentiality is crucial for building trust with clients.
  • It allows clients to feel comfortable disclosing personal details.
  • Maintaining confidentiality is important for the client's well-being and progress in therapy.
  • Confidentiality helps maintain ethical conduct in the practice of therapy.

Prognosis in Schizophrenia

  • Later age of onset is a positive indicator for better outcomes in schizophrenia.
  • Acute onset is an indicator of a more severe prognosis.
  • Good social support networks are associated with positive prognostic factors in schizophrenia.

Biopsychosocial Model

  • This model considers biological, psychological, and social factors when assessing and understanding a patient's disorders.
  • Studying the psychological factors helps to understand how a person's thoughts and behaviors affect their condition.
  • Exploring the biological influences of mental health.
  • Investigating the contributions of social factors to overall health and circumstances.
  • Cultural aspects are also relevant to understanding the origins of diseases.

DSM-5 Criteria for DID

  • Awareness of different personalities is a crucial component for diagnosing DID.
  • A complete history, and diagnosis is reviewed and recorded thoroughly
  • The presence of multiple distinct personalities is required

Neurodevelopmental Disorders

  • Stereotypic movement disorder involves repetitive behaviors such as rocking, head-banging, or hand-flapping
  • These behaviors may be a way to self-soothe or cope with underlying anxiety or frustration
  • They could also indicate a sensory processing disorder or other underlying medical condition.
  • These behaviors are often observed early, and can improve with age or other interventions.

Mood Disorders (Depressive Disorders)

  • Depressed emotion is a subjective experience of pervasive sadness
  • Depressed affect is a noticeable, observable change in emotional expression
  • Depressed mood is a prolonged and persistent state of sadness
  • Feelings of low spirits or sadness is usually a trait (mood) of prolonged duration, as opposed to momentary feelings (affect).

Parkinson's Disease

  • Caused by neuron damage in the brain
  • Loss of dopamine-producing neurons results in movement problems.
  • Acetylcholine, norepinephrine, are usually impacted (reduced) with neuron damage
  • Dopamine is necessary for the smooth and coordinated movement

Interpersonal Therapy

  • This approach focuses on the interpersonal relationships of clients
  • Examines the client's relationships
  • Focuses on improving interpersonal skills
  • The therapist helps to identify and address issues within the client's current relationships
  • This approach helps clients to understand how their relationships impact their overall well-being and mental health.

Schizophrenia

  • The presence of at least two positive symptoms for at least one month
  • Delusions, hallucinations, disorganized speech are positive symptoms
  • The disorder generally begins in early adulthood or adolescence
  • Cognitive impairments are observed
  • Negative symptoms include flattened affect, apathy, anhedonia and avolition
  • Social interactions and occupational functioning show significant deficits
  • Symptoms should be present for more than six months to make a full diagnosis
  • Family conflicts may also be one of the indicators of the disorder

Anxiety Disorders

  • Generalized anxiety disorder characterized by excessive worry
  • Panic disorder is characterized by sudden attacks of intense fear
  • Social anxiety disorder people experience extreme anxiety in social or performance situations
  • Specific phobias are characterized by an irrational fear or dread of a specific stimulus, object, or situation
  • People with generalized anxiety disorder tend to worry excessively about everyday events, even those that do not warrant excessive concern

Dissociative Disorders

  • Dissociative amnesia (involving loss of memory)
  • Dissociative identity disorder (featuring the development of two or more distinct personalities)
  • Dissociative fugue (involving a sudden, unexpected travel away from home)

Sleep Disorders

  • Narcolepsy is a disorder that causes excessive daytime sleepiness
  • A sleep disorder with abnormal behaviors during sleep
  • Sleep apnea is a sleep disorder that causes breathing stops

Psychological Disorders (General)

  • Psychopathology is the study of mental illness.
  • Diagnoses using specific criteria to assess symptoms.
  • Psychologists, psychiatrists, and other mental health professionals provide support.

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Description

This quiz covers essential concepts in psychology, focusing on the significance of confidentiality in therapy and the prognostic factors associated with schizophrenia. Understand the importance of client trust, as well as the implications of different onset ages and social support in mental health. Test your knowledge of the biopsychosocial model in relation to these topics.

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