PSYC 2011: Abnormal Psychology - Study Guide
PSYC 2011: Abnormal Psychology - Study Guide PSYC 2011
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This 28 page Study Guide was uploaded by Aisha Notetaker on Tuesday December 9, 2014. The Study Guide belongs to PSYC 2011 at George Washington University taught by Sherry Molock in Fall. Since its upload, it has received 395 views. For similar materials see Abnormal Psychology in Psychlogy at George Washington University.
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Date Created: 12/09/14
Hard to focus sustain attention Ramblingincoherent speech Timeplacelpersonwhat month is it who am I Causes of delirium Postoperative patients pain can make you delirious bc it s not tolerable Cerebrovascular diseases AIDS Substance abuselwithdrawal Metaboliclendocrine disturbance out of control diabetes Traumatic brain injury Svstemic infection bacterial encephalitis etc Dementia more than one of Major socialloccupational functioning Working memory decline Aphasia language disturbance Aida can t recognize objects Apraxia can t do motor activities even though you understand riding a bike can t Elanlthink abstractli Alzheimer s Disease More common in 0 women 0 people from low SES backgrounds 0 African Americans Low levels of acetylcholine Atrophy people with Alz have larger ventricles Protective factors against Alzheimer s Having the ApoEe2 allele Pursuing higher education I occupational attainment Using nonsteroidal antiinflammatory drugs I estrogen replacement therapy vitamin E Lewy body dementia Buildup of excess lewy bodies Causes changes in alertness and attention visual hallucinations and Parkinson s like symptoms Vascular disease form of dementia caused by a series of small strokes Parkinson s disease Azimi for studysoupcom pg 2 Memory training Cognitive approach Exercises to help enhance memory Behavior Therapy for cognitive disorders Works to help elderly redirect or ignore inappropriate behaviors like hypersexuality Caregivers for indivs with cognitive disorders Helps people with family members who have dementia cope Psychoeducation support groups respite care LEGALIETHICAL ISSUES Guilty but mentally ill Defendant uses the insanity defense aka NGRI plea that says they re not guilty by reason of insanity Used to determine if they should be held responsible for their behavior In Voluntary commitment The law says people can be committed for these reasons they pose a clear amp imminent danger to self or others homeless people can be forced to go to shelters when its v cold are acutely psychotic eating out of garbage disturbance to public is in an unmanageable state of fright or panic People have a right to contest involuntary commitment amp to legal representation Involuntary people have the right to refuse treatment Civil commitment Person is involuntarily confined to mental institution until state feels person is able to care for him or herself and won t be danger to self or others Sexual predator laws allow a person who committed a sexual crime to be held after hislher sentence has been completed theory is that these individuals represent a threat to public safety if they are released Criminal commitment A crime was committed Legal action needs to happen Different legal stds for insanity defenses Azimi for studysoupcom pg 4 Con dentiality ethical standard Cannot disclose info about patients without explicit consent Mental Health amp Drug Courts Instead of crowding jails patients have to promise to stay in treatment Deals with nonviolent offenders who are diagnosed with mental illness andlor co morbid substance abuse problems Wyatt V Stiokney right to treatment is constitutional right ampjails can t deny treatment bc lack resources Rouse V Cameron set standards for adequate treatment patients can t be forced to work amp must be paid for work they do Competent to stand trial Mental state at time of evaluation after arrest amp before trial Competent if Have the ability to communicate a choice Have factual understanding of the proceedings understand what you are being told Have rational understanding of the proceedings understand the nature of the situation and possible consequences eg understand what a trial is Can help in your own defense Right to refuse treatment Supreme Court ruled they can only force defendants to take meds to make them competent to stand trial if it s in best interest of defendant Tarasolf V Board of Regents Duty to warn When you have info about someone being in danger have a duty to warn the intended victim Example if you re a psychologist and your client tells you they re gonna shoot their parents you should warn their parents Privileged communication legal standard Cannot disclose confidential info without consent Holder or privilege is client not therapist if client waives privilege you have to disclose even if you think it s not in the client s best interest EXCEPTIONS Client is minor and you believe they have been a victim of a crime Client danger to self or others Client isn t competent to make a decision about getting treatment Azimi for studysoupcom pg 6 3 Discuss the pros and cons to allowing prisoners the right to refuse treatment of medication What is your opinion on this controversial matter Be sure to clearly explain your position Pros Cons They can defend themselves in trial They aren t getting the treatment they State pays need to get better People who are involuntarily Not competent to stand trial committed have the freedom to Going to jail has no purpose if they choose whether they want to be get out just as badworse off than treated they entered IMO Prisoners who are involuntarily committed should have the right to refuse treatment In cases like the Bag Lady study question 1 she did not have a support system and was unable to make responsible decisions about treatment and hospitalization since she behaves in ways that disturb the public Even though she has been jailed a few times she never got the treatment she desperately needed On the other hand in cases where prisoners are charged with murder and plead insanity the only logical next step would be treatment Like I mentioned in the cons section above going to jail has no purpose if they get out just as badworse off than they entered State funds are already being distributed to jails so Why not make the most of the time prisoners with mental disorders are in custody It should be the priority of the jails to provide their prisoners with treatment that will prevent future criminal proceedings and overcrowding 4 Discuss why it is so difficult to predict dangerous behavior Hard to predict rare behaviors suicide and homicides are relatively rare Violence depends a lot on context not just person s character or even state of mind Best predictor of future dangerousness is past dangerousness 0 History of mental illness Works better Hard to define dangerousness o MHP tend to over predict dangerousness false positives Azimi for studysoupcom pg 8 Exercises to help enhance memory 0 Behavioral therapy Works to help elderly redirect or ignore inappropriate behaviors like hypersexuality Caregiver Support 0 Helps people with family members who have dementia cope o Psychoeducation support groups respite care HINT YOU SHOULD REVIEW TREATMENTS FOR SYMPTOMS OF DEPRESSION amp ANTIPSYCHOTIC MEDICATIONS SINCE THIS COULD COME UP DEPRESSION TREATMENTS 0 Three major classes of antidepressants 1 Tricyclicsz Tofranil Imipramine Elavil 2 MAOIs 3 SSRIs o Antidepressants meds MAOIs treat panic disorders and SAD These meds increase levels of norepinephrine serotonin amp dopamine Severe Side effects include interactions with tyramine withdrawal syndrome and interacting with OTC decongestants Anticholinergic 0 Alternative Treatments 0 St J ohn s Worts 0 Effective in mildtomoderate depression 0 Augmentation Strategies 0 Use 2nd med to augment one that s not Working as Well 0 ECT Passing an electric current thru brain to induce seizure most effective for severe MDD 0 CB teaches patient to identify negative selfcritical thoughts see their connection with depression examine distorted thoughts replace them with realistic interpretations oooouq o Interpersonal IPT 0 short term 0 focuses more on relationships 0 Works on assertiveness and social skills Azimi for studysoupcom pg 10 Study Questions for Neurocognitive Disorders C Luke is probably suffering from delirium He has an impaired ability to focus sustain attention He also has impaired thinking like when he was unable to repeat the names of three objects after five minutes He was disoriented to what time it was amp where he was which is another hallmark of delirious people He is under the substance abuser category of people who are at risk for developing delirium Jane is probably developing dementia She has problems with her working memory which is a tell tale sign Also she has become depressed which is another symptom She also forgets where the refrigerator is in her own house which is a symptom of agnosia or the failure to recognize or identify objects in spite of intact sensory functioning We can rule out delirium because she knows who she is She doesn t have Parlltinson s either because her motor abilities are still intact Can the bag lady be civilly commitment Why or why not 0 The bag lady has lived in this manner for 10 years so she is theoretically able to care for herself One criteria for civil commitment is being a clear amp imminent danger to self or others the bag lady is neither 0 She does not however have a support system and is unable to make responsible decisions about treatment and hospitalization since she behaves in ways that disturb the public acutely psychotic eating out of garbage urinates defecates in front of stores She has a history of being jailed but she was not treated This will at least necessitate Kendra s law aka assisted outpatient treatment Can Carter use the insanity defense Make sure you discuss all the POSSIBLE criteria that could be used and whether he meets the legal standard e different criteria 0 No bc 0 He refused treatment 0 He had specific intent to kill his boss Lonnie Yes he can bc he o Was diagnosed with Schizotypal Personality Disorder after he dropped out of college 0 According to IDRA Carter can justify his insanity defense bc he has a history 0 Can use the Guilty but mentally ill NGRI plea x He s not guilty by reason of insanity Do you have a duty to warn J udy s boyfriend about her HIV status and her deliberate attempt to infect him with the Virus C Privileged communication Psychologist cannot disclose confidential info without consent This case is an exception to Privileged Communication Yes you do have a duty to warn J udy s boyfriend bc 0 Client is a danger to self or others 0 Judy is deliberately putting her boyfriend in danger of contracting HIV so he needs to be warned Study Questions for Personality Disorders C CD 0 I think John has Paranoid Personality Disorder 0 He displays symptoms like chronic mistrust of his wife amp excessive suspiciousness He is pathologically jealous and paranoid resorting to check her cell phone Facebook page and email messages for evidence that she is unfaithful He s very sensitive and often over reacts His paranoia drives him to show up unexpectedly at her job and one time he got into a shouting match with the janitor when he found the janitor changing her at tire He is defensive and has limited interpersonal skills which make it almost impossible for his wife to talk to him about it Susan probably has a hisonic personality disorder We can rule out anxious fearful disorders since she does not exhibit any of those symptoms She has an insatiable need for attention and approval o Went to her exboyfriend s job and told him that unless he called her she would do something drastic like really hurt myself Her behaviors are dramatic emotional amp colorful o At the therapy session she was tearful when she described the break up angrily called him names yet she cheerfully smiled at the end and asked where she could find a new date
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