Transcript Slide 1

Staying on Course
Dr. Ronn Young
7/18/2015
Final Exam Review Part Two
Chapter 11,12,13,14,15
1
Five Main Categories of Substances
Depressants – result in behavioural sedation (e.g., alcohol,
sedative, anxiolytic drugs)
Stimulants – increase alertness and elevate mood (e.g., cocaine,
nicotine, caffeine)
Opiates – primarily produce analgesia and euphoria (e.g., heroin,
morphine, codeine)
Hallucinogens – alter sensory perception (e.g., marijuana,
LSD)
Other drugs of abuse – include inhalants, anabolic
steroids, medications
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Chapters 11-15
Substance Abuse
Understand the Difference
Substance Abuse
Substance Use
Substance Dependence
Addiction
Intoxication
7/18/2015
Chapters 11-15
Substance Abuse
Amy drinks alcohol alone in her dorm room usually
when she can’t get to sleep. Which level of
involvement with alcohol would best apply to Amy?
A. Substance abuse
B. Substance use
C. Substance dependence
D. Intoxication
Question?
7/18/2015
Chapters 11-15
Substance Abuse
Condition known as Delirium Tremens (DTs), involves
hallucinations and body tremors during withdrawal
from:
A. Heroin
B. Alcohol
C. Cocaine
D. Marijuana
Question?
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Chapters 11-15
Substance Abuse
Understand and know page 390
Consider the Addictiveness of these
drugs. Which is the most addictive?
Crack Cocaine?
Heroin?
Nicotine?
Methamphetamine?
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Chapters 11-15
Substance Abuse
Understand what is comorbid with Alcohol.
Page 391
Mood and anxiety disorders
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Chapters 11-15
Substance Abuse
Check out …Rohypnol
This you know. It is not a barbiturate!!
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Chapters 11-15
Substance Abuse
What are the Stimulants?
Understand what they do.
Page 392
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Substance Abuse
What are the symptoms of
withdrawal? Page 393
Nausea and vomiting
Hallucinations
Delirium tremens
What about hypersomnia?
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Chapters 11-15
Substance Abuse
What is the Opponent Process Theory
explaining drug addiction?
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Chapters 11-15
Substance Abuse
Which of the following is the definition of anxiolytic
A. Sleep inducing
B. Anxiety reducing
C. Antiseizure
D. Calming
Question?
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Chapters 11-15
Substance Abuse
Know the definitions for
Sedative
Hypnotic
Barbiturate
Anxiolytic
Don’t forget they all effect GABA
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Chapters 11-15
Substance Abuse
It is possible that teaching your kids to "trust nobody"
and to "be careful because someone is going to hurt
you” may contribute to the development of ____
personality disorder.
A. socially anxious
B. paranoid
C. schizotypal
D. schizoid
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Chapters 11-15
14
All the following are necessary conditions for the
diagnosis of Personality Disorder EXCEPT: (This
means all of these are true of PD except one of them.
Find that “one”.)
A. Subjective feelings of distress
B. Pervasive pattern of behaviour
C. Maladaptive functioning
D. Chronic
Question?
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Chapters 11-15
Personality Disorder
The key characteristic of antisocial personality
disorder is ____.
A. Criminal behaviour in adolescence
B. Cold hearted
C. Selfishness
D. Failure to comply with social norms
Question?
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Chapters 11-15
Personality Disorder
One of the most difficult challenges for a
therapist treating someone with a paranoid
personality disorder (PPD) is ...
Getting them to trust you!!
Question?
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Chapters 11-15
Personality Disorder
Know the 5 Axis of the
DSM IV and what goes
on each axis
(Slide 59)
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Chapters 11-15
Personality Disorder
The reason Personality Disorders are on Axis II of the
DSM IV is because:
A. They relate to extreme deficits in
functioning
B. There are neurological similarities between
Personality Disorders and Mental
Retardation
C. They are biological in nature
D. They are more ingrained and permanent
then other disorders
Question?
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Chapters 11-15
Personality Disorders
All of the following are classified as pervasive
developmental disorders EXCEPT:
Think carefully what these actually are …
A.
B.
C.
D.
Autistic disorder
Rett's disorder
Asperger's disorder
Attention-deficit hyperactivity disorder
Question?
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Chapters 11-15
Personality Disorders
Know each of the Clusters
A, B, C, of Personality Disorders and what
is involved in each cluster
(Slide 58)
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Chapters 11-15
Personality Disorder
Cluster B contains antisocial, borderline, histrionic
and narcissistic personality disorder, which all are
characterized with elevated levels of :
A.
B.
C.
D.
Anxiety
Eccentricity
Impulsivity
Extroversion
Question?
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Chapters 11-15
Personality Disorders
Understand each of the personality disorders:
paranoid
-mistrust and suspicion
Schizoid
schizotypal
antisocial
Borderline
Histrionic
Narcissistic
Avoidant
Dependant
Obsessive Comp.
-detached socially
-odd behaviour
-non compliance
-unstable moods/socially
-dramatic, sensual
-extreme self importance
-highly sensitive
-excessive reliance
-rigid fixation on doing things the right way
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Chapters 11-15
Personality Disorder
It is possible to teach children to “trust nobody” and
“be careful of people who might hurt you”, which may
contribute to developing which personality disorder?
A. Paranoid
B. Socially Anxious
C. Schizotypal
D. Schizoid
Question?
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Chapters 11-15
Personality Disorders
A person who goes through life with no motivation to
get to know anybody, but has relatively normal
behaviour, is likely to be diagnosed with _____
personality disorder?
A. Avoidant
B. Narcissistic
C. Schizoid
D. Paranoid
Question?
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Chapters 11-15
Personality Disorders
Individuals who are socially isolated, behave in
unusual ways, have odd beliefs and tend to be
suspicious would describe which disorder?
A. Schizotypal
B. Schizoid
C. Paranoid
D. Multiple
Question?
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Chapters 11-15
Personality Disorders
Understand what the difference between
psychopathy and antisocial behaviour is?
Page 440
(While there, check out Conduct Disorder)
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Personality Disorder
Jonathon is a 12 year old boy who has been repeatedly
arrested for theft and assault. He has been caught
stealing from his parents’ wallets and little brother’s piggy
bank. Jon shows no guilt and no remorse. He may have
________ disorder.
A. Antisocial personality
B. Attention Deficit Hyperactivity
C. Conduct
D. Narcissistic
Question?
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Chapters 11-15
Personality Disorders
The characteristic features of personality disorders is that
they tend to develop with
A. Rapid onset in the late teens
B. Gradual onset in adulthood
C. Rapid onset in adulthood
D. Gradual onset in childhood
Question?
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Chapters 11-15
Personality Disorders
What is true about the long term out-look for
schizophrenia?
A. About 50% recover
B. Recovery is possible only if they stay on meds
C. Recovery is possible if they say on with
psychotherapy
D. Complete recovery is rare
Question?
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Chapters 11-15
Schizophrenia
The term schizophrenia was introduced in 1908 by a
Swiss Psychiatrist named ...
A. Kyle Wagner
B. Sigmund Freud
C. Eugen Bleuler
D. Philippe Pinel
Question?
7/18/2015
Chapters 11-15
Schizophrenia
My client believes he is sent by God to save
you from the final exam. He says he
regularly hears from God describing his
mission. His appearance is odd, sloppy and
often speaks incoherently. He has
experienced these symptoms for the last
seven months. What disorder does this client
most likely have?
Schizophrenia, of course.
See page 468
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Schizophrenia
Why would a schizophrenic’s delusions
persist even in the face of contradictory
evidence?
The delusions may provide them with a sense of
purpose and meaning in life. Page 469
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Chapters 11-15
Schizophrenia
The 2 types of hallucinations experienced by
psychotic individuals are auditory and visual
hallucinations. Which one is the most
common experience?
Auditory ...hearing voices
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Schizophrenia
Know what Avolition is?
Know what Alogia is?
Inability to initiate and persist in activities. Page 471
Lack of speech content or slow speech response Page 471
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Schizophrenia
Which of the following defines the negative symptom
known as “flat affect”?
A. Inability to initiate conversation
B. Inability to experience pleasure
C. Lack of emotional response, blank facial
expression
D. Lack of speech content, slowed responses
Question?
7/18/2015
Chapters 11-15
Schizophrenia
Jane, a hospitalized schizophrenic patient, shows an
unusual form of catatonia. If someone moves one of her
legs or arms into a different position, it just stays that
way. Jane’s bizarre behaviour is known as ...
A. Postural constipation
B. Catatonic cooperation
C. Waxy flexibility
D. Schizoidal movement disorder
Question?
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Chapters 11-15
Schizophrenia
What’s the other catatonic state called?
Catatonic State
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Schizophrenia
Understand what echolalia is.
Tendency to mimic or repeat the words of others.
Page 474
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Schizophrenia
The inattention of attention
deficit/hyperactive disorder is
characterized by making …
...careless mistakes
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Chapters 11-15
Developmental disorders
In order to diagnose someone with ADD/HD it is
necessary for symptoms to be present in ______
A. Both symptom clusters
B. The hyperactive cluster
C. The area of impulsivity
D. Either of the symptom clusters
Page 503
Question?
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Chapters 11-15
Schizophrenia
The ratio of boys to girls for
ADHD is 4 boys to 1 girl
Page 504
7/18/2015
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Developmental disorders
Robin is pregnant and continues to smoke cigarettes
during her pregnancy. Her child is how many times more
likely to have an Attention Deficit disorder than a mother
who does not smoke?
A. No times
B. 2 times
C. 3 times
D. 5 times
Page 505
Question?
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Chapters 11-15
Schizophrenia
Non medication treatment for
Attention deficit disorder usually
involves …
...behavioural programs and parent training
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Developmental disorders
Treatment for autism is most similar to
the treatment for …
...mental retardation
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Developmental disorders
I suggested last Thursday in our lecture that, perhaps,
more than any other group covered in this course, people
with ____ have throughout history received treatment
that can best be described in public as shameful.
A. Schizophrenia
B. Mental Retardation
C. Autism
D. Depression
Question?
7/18/2015
Chapters 11-15
Developmental Disorders
Mental Retardation has 100’s of known
causes.
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Developmental disorders
All of the following are considered Pervasive
Developmental Disorders except:
A. Autistic Disorder
B. Rett’s Disorder
C. Aspergers Disorder
D. Attention-Deficit Hyperactive Disorder
Question?
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Chapters 11-15
Developmental Disorders
The term pervasive, in Pervasive
Development Disorders relates to the
fact that these disorders …
...significantly affect individuals throughout their lives
Page 512
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Developmental disorders
When sitting with a parent playing with his favourite
Tonka truck, young children typically smile at the parent
attempting to engage the parent with the toy. Children
with autism
A. Show little or no interest in the toy
B. Do not display this behaviour at all with the
parent
C. Will only do this if they see another child with
this behaviour
D. Typically talk to the toy but not the parent
Question?
7/18/2015
Chapters 11-15
Developmental Disorders
The Abnormal Psychology student who
wishes to excel on the final exam …
A. Will attend exam on the 14th, here!
B. Will be careful to get a good night’s
sleep
C. Will eat a protein-ish meal before
the exam
D. Will pray before 8:00pm on the 14th
...All of the above!
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Chapters 11-15
Developmental disorders
In most instances delirium, dementia and
amnestic disorders develop:
A.
B.
C.
D.
From complications at birth
As part of the normal aging process
At late adulthood
As temporary conditions
Question?
7/18/2015
Chapters 11-15
Cognitive Disorders
The most common cause of dementia is:
A.
B.
C.
D.
A history of substance abuse
Alzheimer's disease
Improper use of prescription drugs
Syphilis
Question?
7/18/2015
Chapters 11-15
Cognitive Disorders
____ is the most frequent cause of
dementia. ____ is the second.
Alzheimer’s and Vascular
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Cognitive disorders
These are known causes of dementia…
HIV, B12 deficiency, and head trauma
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Cognitive disorders
When studying the causes of Alzheimer’s
type dementia we discover the influence of:
A.
B.
C.
D.
Multiple genes
Single gene
Environmental toxins
High levels of aluminum
Question?
7/18/2015
Chapters 11-15
Cognitive Disorders
The risk of getting vascular dementia is
A.
B.
C.
D.
Is greater for women than men
Greater for men than women
Equal for men and women
Greater for men who supersize at
McDonald’s
Question?
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Chapters 11-15
Cognitive Disorders
Brain dysfunction is the most common
reason for cognitive disorders.
TRUE!
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Cognitive disorders
Personality Disorder Clusters
• Cluster A: Odd or eccentric …paranoid,
schizoid, and schizotypal
• Cluster B: Dramatic, emotional, or erratic
cluster …antisocial, borderline, histrionic, and
narcissistic
• Cluster C: is the anxious or fearful cluster and
includes avoidant, dependant, and obsessive
compulsive
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DSM-IV-TR AXIS Codes
• Axis I – Clinical disorders
• Axis II – Personality disorders & Mental
Retardation
• Axis III – General Medical Conditions
• Axis IV – Psychosocial and Environmental
Problems
• Axis V – Global Assessment of Functioning Scale
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Make the best of your intentions.
Remember your thoughts ...captivate them
and make the final exam a welcomed
experience!
Do NOT allow fear to dominate your mind.
Encourage yourself and others. It helps!
Dr. Ronn Young with respect to you!!
Chapters 11-15
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I appreciate each
and every one of
you!
May you know
success for this
exam because you
believe in yourself.
Be NORMAL!
Be AUTHENTIC!
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