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Abnormal Psych

by: Abdiel Weissnat

Abnormal Psych PSY 352

Abdiel Weissnat
GPA 3.52

B. Zwibelman

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B. Zwibelman
Class Notes
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This 6 page Class Notes was uploaded by Abdiel Weissnat on Thursday September 17, 2015. The Class Notes belongs to PSY 352 at University of Miami taught by B. Zwibelman in Fall. Since its upload, it has received 7 views. For similar materials see /class/205707/psy-352-university-of-miami in Psychlogy at University of Miami.

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Date Created: 09/17/15
0 Normal vs Abnormal eating 0 All forms of social gatherings celebrations o Statements that people have made who have issues with eating Not all related to body image or weight H eat when I am upset lonely angry depressed etc stuff myself with food am terrified of gaining weight feel guilty after eating have gone on eating binges that l WJWJWJWJ H H H H could not stop H get confused as to whether or not I amhungry H have a few other pleasures in life besides eating If I gain a pound I worry that I will keep gaining l have the thought of trying to vomit in order to lose weight I eat or drink in secrecy I feel ineffective as a person I get confused about what emotion I amfeeling As a child I tried very hard to avoid disappointing my parents and teachers 0 4 Eating Disorders 1 Anorexia Nervosa Restricting type i Refusal to maintain body weight above the minimum normal weight 15 or more below ii Obsession with food and exercise iii Food intake is dramatically limited leading to extreme weight loss 2 Binge Eating Disorder i Unusually large amounts of food in short time ii Out of control iii Several binges iv Most but not all are obese defined as having a BMI greater than 30 v Binge episodes a loss of control over their eating vi Body max indexthe individuals weight divided by the square of his height vii More common than anorexia and bulimia viii More common in women than men 3 Bulimia Nervosa purging amp non purging type i Episodes of out of control binge eating ii Followed by purging of the food through vomiting or other means iii lpecac syrup makes you throw up iv May also take laxatives v Compensatory behaviors excessive exercise Emphasizes that it39s not always purging 4 Anorexia Nervosa Binge Eating Purging type Bulimarexia i The anorexic who has turned to bingeing as a way of dealing with the recurrent violent hunger pangs ii vomiting or other compensatory behaviors as a way of keeping weight at very low levels iii lntense fear of becoming fat obese iv Potentially fatal has the highest mortality rate of all psychological disorders v Medical complications that are associated with anorexia l Bradycardia abnormally slow heart rate 2 Hypotension low blood pressure 3 Hypothermia body temp drops below minimal amount vi Bulimarexia binges may be small or excessive Anorexia Nervosa and Bulimia Nervosa SIMILARITIES o lntense fear of becoming obese Preoccupied with food eating weight Ritualistic secretive eating Self destructive behaviors Disorder begins after a period of dieting OOOOO Restrictive dieting makes it worse 0 Think of themselves as quotbeing goodquot or quotbeing badquot depending on food intake 0 Control Issues 0 Diminished sense of personal control and confidence in their abilities 0 Fear of losing control of their bodies 0 Feelings of depressionanxiety Need to be perfect o Often co morbid with depression borderline PD 0 An individual may alternate between restricting and binge purging Gender Variance 0 Eating disorders are predominantly females 90 F 10 M 0 How eating disorders start 0 Preoccupation with body weight and body dissatisfaction gtrigid dieting gtfailure to maintain rigid dietary control gtloss of dietary restraints gtbinge eating episodes gtfear of weight gain gtpurging to compensate for excess calories consumed reinforced by anxiety relief 0 What causes eating disorders 0 Society pressure that emphasizes thinness white upper socioeconomic class 0 Family environment 0 Dieting especially quotguick fixquot and restrictive diets o Psychodynamic unresolved emotional conflict early on in life 0 Learning clasically conditioned phobia for eating exaggerated weight problems weight loss needs and consequences of gaining weight cognitive distortions selective attention to media models of attractiveness 0 Cognitive misperceptions of body image 0 Mood Disorders 0 Biological factors Physiological anorexia malfunction of hypothalamus Low levels of serotonin prolonged stress or genetic factors gtmalfunction of hypothalamus Treatment 0 Stabilize medically 0 Restore weight to normal levels Establish normal eating patterns Stabilize life Structure In touch with feelings Resolve control issues 00 Eliminate obsessions Honest relationships with people Resolve guiltshamequotsecretsquot Overcome depressive life style OOOOO Substance Abuse wednesday April 06 2011 126 PM What is the single most common error made in clinical assessment Ignoring a history of substance abuse All of these disorders can be a result of substance abuse N Mood disorders Psychotic disorders Anxiety disorders Sexual dysfunctions Sleep disorders Delirium4 Dementia Amnesia N N N N N 2 Substance Abuse Disorders 0 Must be ruled out before considering other diagnoses O Often occurs co morbid with other disorders 2 What is quotsubstance abusequot 0 Noticeably impaired functioning as a result of psychoactive substance O quotImpaired functioningquot refers to Chronic Progressive Compulsion to use D Loss of control Continued use despite consequences 0 quotPsychoactive substancequot refers to Alters mood or behavior 2 What is quotaddictionquot That the particular substance manifests both tolerance and withdrawal 0 What is the evidence needed to show that a psychoactive substance drug is addictive AKA What is the operational definition Tolerance the process through which the nervous system becomes less sensitive to the effects of a drug Withdrawal the symptoms experience when a person stops using a drug 0 2 4 Levels of Involvement I Use i Ingestion of psychoactive substance in moderate amounts that do not significantly interfere with a person39s social or educational or occupational functioning 2 Intoxication i A temporary substance specific syndrome due to recent ingestion of a psychoactive substance 3 Abuse doesn39t have to do with how much has to do with behavior conseguences due to the behavior i Serious conseguences ii Failure to fulfill major role obligations iii Use in situations in which it is physically hazardous iv Substance related legal problems v Continued use despite having persistent social or interpersonal problems cause or exacerbated by the effects of the substance continue to use despite these problems 4 Dependence i Tolerance ii Withdrawal iii Substance taken in larger amounts or over a longer period of time than intended iv Persistent desire of unsuccessful effort to reduce or control substance use v Spending a great deal of time in activities necessary to obtain the substance drug seeking behaviors vi Giving up or reducing important social occupations or recreational activities because of substance abuse vii Continued use despite awareness of physical of psychological problems caused by the use Know how to compare Abuse and Dependence 2 Flow Chart Leading to Dependence or Abuse Positive attitude gtExperimentation gtRegular Use gtHeavy Use gtDependence or Abuse 2 Pleasurereward pathway 0 Many perhaps all drugs activate a quotreward centerquot or quotpleasure pathwayquot in the brain


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