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lecture 5 (4)

Course: PSY PSY2012, Fall 2011
School: Broward College
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retardation Prenatal Mental illnesses and issues Fetal alcohol syndrome (FAS) affects one in 3,000 children in Western countries. It is caused by the mother's heavy drinking during the first twelve weeks (trimester) of pregnancy. Some studies have shown that even moderate alcohol use during pregnancy may cause learning disabilities in children. Drug abuse and cigarette smoking during pregnancy have also been...

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retardation Prenatal Mental illnesses and issues Fetal alcohol syndrome (FAS) affects one in 3,000 children in Western countries. It is caused by the mother's heavy drinking during the first twelve weeks (trimester) of pregnancy. Some studies have shown that even moderate alcohol use during pregnancy may cause learning disabilities in children. Drug abuse and cigarette smoking during pregnancy have also been linked to mental retardation. Maternal infections and such illnesses as glandular disorders, rubella, toxoplasmosis, and cytomegalovirus (CMV) infection may cause mental retardation. When the mother has high blood pressure (hypertension) or blood poisoning (toxemia), the flow of oxygen to the fetus may be reduced, causing brain damage and mental retardation. Birth defects that cause physical deformities of the head, brain, and central nervous system frequently cause mental retardation. Neural tube defect, for example, is a birth defect in which the neural tube that forms the spinal cord does not close completely. This defect may cause children to develop an accumulation of cerebrospinal fluid inside the skull (hydrocephalus). Hydrocephalus cause can learning impairment by putting pressure on the brain. Childhood illnesses and injuries Hyperthyroidism, whooping cough, chickenpox, measles, and Hib disease (a bacterial infection) may cause mental retardation if they are not treated adequately. An infection of the membrane covering the brain (meningitis) or an inflammation of the brain itself (encephalitis) can cause swelling that in turn may cause brain damage and mental retardation. Traumatic brain injury caused by a blow to the head or by violent shaking of the upper body may also cause brain damage and mental retardation in children. Environmental factors Ignored or neglected infants who are not provided with the mental and physical stimulation required for normal development may suffer irreversible learning impairment. Children who live in poverty and suffer from malnutrition, unhealthy living conditions, abuse, and improper or inadequate medical care are at a higher risk. Exposure to lead or mercury can also cause mental retardation. Many children have developed lead poisoning from eating the flaking lead-based paint often found in older buildings.
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Broward College - PSY - PSY2012
Mental retardationDiagnosisIf mental retardation is suspected, a comprehensive physical examination and medical historyshould be done immediately to discover any organic cause of symptoms. Such conditions ashyperthyroidism and PKU are treatable. If th
Broward College - PSY - PSY2012
Medication-induced movement disordersDemographicsNeuroleptic-induced acute dystonia occurs most commonly in young males. It is far less likely tooccur with the newer medications known as atypical neuroleptic medications, such as clozapine,risperidone,
Broward College - PSY - PSY2012
DiagnosisPeople taking antipsychotic medications and other medications that block dopamine action mustbe regularly evaluated by a physician to monitor for medicationinduced movement disorders. Inorder for these conditions to be officially diagnosed, ce
Broward College - PSY - PSY2012
Medication-induced movement disordersTreatmentsIn an attempt to prevent acute dystonia from developing, physicians may prescribe a preventativemedication along with the antipsychotic (see "Prevention," below). Once neuroleptic-inducedacute dystonia ha
Broward College - PSY - PSY2012
MeditationPhoto by: Maksim ShmeljovDefinitionMeditation or contemplation involves focusing the mind upon a sound, phrase, prayer, object,visualized image, the breath, ritualized movements, or consciousness in order to increaseawareness of the present
Broward College - PSY - PSY2012
MeditationMeditation in health care settingsThe use of meditation in health care settings often involves one of the following: transcendentalmeditation (TM); methods developed by Dr. Herbert Benson to elicit the relaxation response; oradaptations of t
Broward College - PSY - PSY2012
MeditationPrecautionsMeditation appears to be safe for most people. There are, however, case reports and studiesnoting some adverse effects. For example, 33% to 50% of people who participated in long, silentmeditation retreats (two weeks to three mont
Broward College - PSY - PSY2012
MeditationNormal resultsThe scientific study of the physiological effects of meditation began in the early 1960s. Thesestudies demonstrated that meditation affects metabolism, the endocrine system, the centralnervous system, and the autonomic nervous
Broward College - PSY - PSY2012
Minnesota Multiphasic Personality InventoryPrecautionsAlthough the MMPI-2 may be administered by trained clerical staff or by computer, for bestresults the examiner should meet the test taker before giving the test in order to establish thecontext and
Broward College - PSY - PSY2012
Mental retardationPrognosisPeople with mild to moderate mental retardation are frequently able to achieve some selfsufficiency and to lead happy and fulfilling lives. To reach these goals, they need appropriate andconsistent educational, community, soc
Broward College - PSY - PSY2012
MesoridazineDefinitionMesoridazine is a member of the phenothiazine family of drugs (drugs that reduce the action ofthe neurotransmitter, dopamine, in the brain ) and sold under the brand name Serentil in theUnited States.PurposeMesoridazine is effe
Broward College - PSY - PSY2012
MethadonePhoto by: HLPhotoDefinitionMethadone is classified as an opioid (an analgesic that is used for severe pain). In the UnitedStates, methadone is also known as dolophine, methenex and methadose.PurposeMethadone is used in the long-term mainten
Broward College - PSY - PSY2012
MesoridazinePrecautionsMesoridazine has the potential to produce a serious syndrome called tardive dyskinesia . Thissyndrome consists of involuntary, uncoordinated movements (especially of the tongue, jaw,mouth, or face). It usually develops either la
Broward College - PSY - PSY2012
MethylphenidatePhoto by: photocreoDefinitionMethylphenidate is a mild, central nervous system stimulant. In the United States, the drug issold under the brand name Ritalin.PurposeMethylphenidate is used primarily in the treatment of attention-defici
Broward College - PSY - PSY2012
MethadoneRecommended dosageThe initial dose of methadone is 40 mg daily administered in single or divided doses. Afterachieving initial dosing of about 40 mg daily, the dose should be increased since there isevidence that the relapse rate is significa
Broward College - PSY - PSY2012
MethylphenidatePrecautionsMethylphenidate has a great potential to produce physical and mental dependence.Administration should not be stopped abruptly. Such action can cause withdrawal symptomsincluding depression, paranoid feelings, thoughts of suic
Broward College - PSY - PSY2012
Mini-mental state examinationPhoto by: MindwalkerDefinitionThe mini-mental state examination, which is also known as the MMSE, standardized MMSE,SMMSE, or the Folstein, is a brief examination consisting of eleven questions intended toevaluate an adul
Broward College - PSY - PSY2012
Mini-mental state examinationPrecautionsThe MMSE should not be used as the sole criterion for assessment during differential diagnosisof psychiatric disorders, as there are many disorders and conditions that affect cognitivefunctioning. The results of
Broward College - PSY - PSY2012
Minnesota Multiphasic Personality InventoryDefinitionThe Minnesota Multiphasic Personality Inventory, known as the MMPI, and its revised secondedition (MMPI-2) are psychological assessment instruments completed by the person beingevaluated, and scored
Broward College - PSY - PSY2012
Minnesota Multiphasic Personality InventoryDescriptionThe MMPI-2 is composed of 567 true/false items. It can be administered using a printed testbooklet and an answer sheet filled in by hand, or by responding to the items on a computer. Forthe person
Broward College - PSY - PSY2012
ModelingPhoto by: Bonita R. CheshierDefinitionModeling, which is also called observational learning or imitation, is a behaviorally basedprocedure that involves the use of live or symbolic models to demonstrate a particular behavior,thought, or attit
Broward College - PSY - PSY2012
ModelingDescriptionTypes of modelingTherapy begins with an assessment of the client's presenting problem(s). The assessment usuallycovers several areas of life, including developmental history (the client's family background,education, employment, so
Broward College - PSY - PSY2012
ModelingRole-playingRole-playing is a technique that allows the client opportunities to imitate the modeled behaviors,which strengthens what has been learned. Role-play can be defined as practice or behaviorrehearsal; it allows the client to receive f
Broward College - PSY - PSY2012
ModelingLength of treatmentWhile modeling therapy is a relatively short-term approach to behavioral change, sometherapeutic techniques take longer than others. Imagery, for example, requires more sessions thanin vivo (real-life) treatments. In vivo wo
Broward College - PSY - PSY2012
MolindoneDefinitionMolindone is an antipsychotic. It is sold in the United States under the trade name of Moban.PurposeMolindone is used to treat psychotic symptoms that may appear in depression, mania, orschizophrenia .Recommended dosageThe dosage
Broward College - PSY - PSY2012
Movement disordersPhoto by: diterDefinitionMovement disorders describe a variety of abnormal movements of the body that have aneurological basis. These abnormal movements are characterized by changes in the coordinationand speed of voluntary movement
Broward College - PSY - PSY2012
NaltrexoneDefinitionNaltrexone is classified as a pure opiate antagonist. It is sold in the United States under the brandnames ReVia and Depade, but is also manufactured and sold under its generic name.PurposeNaltrexone is used as part of medically s
Broward College - PSY - PSY2012
MirtazapineDefinitionMirtazapine is most commonly used to treat depression. Mirtazapine is available in the UnitedStates under the trade names of Remeron and Remeron SolTab.Mirtazapine, sold under the trade name Remeron, is taken by mouth and swallowe
Broward College - PSY - PSY2012
MirtazapinePrecautionsMirtazapine may cause weight gain and may increase cholesterol levels and should be usedcarefully in overweight individuals and those with high cholesterol levels. If symptoms of fever,sore throat, or irritation in the mouth occu
Broward College - PSY - PSY2012
Mixed receptive-expressive language disorderPhoto by: Shrimp GraphicDefinitionMixed receptive-expressive language disorder is diagnosed when a child has problemsexpressing him-or herself using spoken language, and also has problems understanding what
Broward College - PSY - PSY2012
Mixed receptive-expressive language disorderDemographicsMixed receptive-expressive language disorder is diagnosed in about 5% of preschool-agechildren, and 3% of children in school. It is less common than expressive language disorder.Children who have
Broward College - PSY - PSY2012
Mixed receptive-expressive language disorderSymptomsThe signs and symptoms of mixed receptive-expressive language disorder are for the most partthe same as the symptoms of expressive language disorder . The disorder has signs andsymptoms that vary con
Broward College - PSY - PSY2012
Nicotine and related disordersBehavioral treatmentsBehavioral treatments are used to help smokers learn to recognize and avoid specific situationsthat trigger desire for a cigarette. They also help the smoker learn to substitute other activities forsm
Broward College - PSY - PSY2012
Nicotine and related disordersDiagnosisSmokers usually self-diagnose their nicotine dependence and nicotine withdrawal. Suchquestionnaires as the Fagerstrom Test for Nicotine Dependence (FTND), a short six-itemassessment of cigarette use, help to dete
Broward College - PSY - PSY2012
Neuropsychological testingDefinitionClinical neuropsychology is a field with historical origins in both psychology and neurology. Theprimary activity of neuropsychologists is assessment of brain functioning through structured andsystematic behavioral
Broward College - PSY - PSY2012
NeglectPrevention and treatmentInterventions are usually aimed at two levels: community prevention efforts and individualparenting skills. A community-based program that actually combines the two facets ofintervention is the "Parents as Teachers" prog
Broward College - PSY - PSY2012
NeurosisDefinitionNeurosis is a term generally used to describe a nonpsychotic mental illness which triggersfeelings of distress and anxiety and impairs functioning.DescriptionOriginsThe word neurosis means "nerve disorder," and was first coined in
Broward College - PSY - PSY2012
NeurotransmittersNeurotransmitters, mental disorders, and medicationsSchizophreniaImpairment of dopamine-containing neurons in the brain is implicated in schizophrenia , amental disease marked by disturbances in thinking and emotional reactions. Medic
Broward College - PSY - PSY2012
NeurotransmittersPhoto by: V. YakobchukDefinitionNeurotransmitters are chemicals located and released in the brain to allow an impulse from onenerve cell to pass to another nerve cell.DescriptionThere are approximately 50 neurotransmitters identifie
Broward College - PSY - PSY2012
NeurotransmittersAttention-deficit/hyperactivity disorderPeople affected by attention-deficit/hyperactivity disorder (ADHD) experience difficulties inthe areas of attention, overactivity, impulse control, and distractibility. Research shows thatdopami
Broward College - PSY - PSY2012
Nicotine and related disordersDefinitionNicotine disorders are caused by the main psychoactive ingredient in tobacco. Nicotine is aphysically and psychologically addictive drug. It is the most influential dependence-producingdrug in the United States
Broward College - PSY - PSY2012
Nicotine and related disordersCauses and symptomsHow nicotine worksNicotine is the main addictive drug among the 4,000 compounds found in tobacco smoke. Suchother substances in smoke as tar and carbon monoxide present documented health hazards, butth
Broward College - PSY - PSY2012
Nicotine and related disordersNicotine dependenceIn addition to the physical dependence caused by the actions of nicotine on the brain, there is astrong psychological component to the dependency of most users of tobacco products, especiallycigarette s
Broward College - PSY - PSY2012
Nicotine and related disordersDemographicsAbout 60 million Americans smoke cigarettes, cigars, and pipes; and about six million more usesmokeless tobacco. Worldwide, there are more than a billion smokers. Although the prevalenceof smoking has graduall
Broward College - PSY - PSY2012
Nicotine and related disordersMedicationsBefore 1984, there were no medications to help smokers quit. In that year, a nicotine chewinggum (Nicorette) was approved by the United States Food and Drug Administration (FDA) as aprescription drug for smokin
Broward College - PSY - PSY2012
Internet addiction disorderTreatmentsSince Internet addiction disorder is a relatively new phenomenon, there is little research on theeffectiveness of treatment procedures. Some professionals advocate abstinence from the Internet.Others argue that it
Broward College - PSY - PSY2012
Intelligence testsPhoto by: frentaDefinitionIntelligence tests are psychological tests that are designed to measure a variety of mentalfunctions, such as reasoning, comprehension, and judgment.PurposeThe goal of intelligence tests is to obtain an id
Broward College - PSY - PSY2012
Intelligence testsDescriptionWhen taking an intelligence test, a person can expect to do a variety of tasks. These tasks mayinclude having to answer questions that are asked verbally, doing mathematical problems, anddoing a variety of tasks that requi
Broward College - PSY - PSY2012
Intelligence testsDisadvantagesSome researchers argue that intelligence tests have serious shortcomings. For example, manyintelligence tests produce a single intelligence score. This single score is often inadequate inexplaining the multidimensionalI
Broward College - PSY - PSY2012
ImipraminePhoto by: Sebastian KaulitzkiDefinitionImipramine is a tricyclic antidepressant. It is sold under the brand name Tofranil in the UnitedStates.PurposeImipramine is used to relieve symptoms of depression.Imipramine is also used in the treat
Broward College - PSY - PSY2012
ImipraminePrecautionsLike all tricyclic antidepressants, imipramine should be used cautiously and with close physiciansupervision in people, especially the elderly, who have benign prostatic hypertrophy (enlargedprostate), urinary retention, and glauc
Broward College - PSY - PSY2012
ImipramineSide effectsImipramine shares side effects common to all tricyclic antidepressants. The most frequent ofthese are dry mouth, constipation, urinary retention, increased heart rate, sedation, irritability,dizziness, and decreased coordination.
Broward College - PSY - PSY2012
Intermittent explosive disorderCauses and symptomsCausesRecent findings suggest that IED may result from abnormalities in the areas of the brain thatregulate behavioral arousal and inhibition. Research indicates that impulsive aggression is relatedto
Broward College - PSY - PSY2012
Intermittent explosive disorderPhoto by: Studio-54DefinitionWhat The Doctor Is Not Telling You!www.ZipHip.comIntermittent explosive disorder (IED) is a disorder characterized by impulsive acts of aggression,as contrasted with planned violent or aggr
Broward College - PSY - PSY2012
Intermittent explosive disorderDemographicsIED is apparently a rare disorder. Most studies, however, indicate that it occurs more frequentlyin males. The most common age of onset is the period from late childhood through the early 20s.The onset of the
Broward College - PSY - PSY2012
Intermittent explosive disorderTreatmentsSome adult patients with IED appear to benefit from cognitive therapy. A team of researchers atthe University of Pennsylvania found that cognitive approaches that challenged the patients'negative views of the w
Broward College - PSY - PSY2012
Internet addiction disorderCauses and symptomsCausesNo one knows what causes a person to be addicted to the Internet, but there are several factorsthat have been proposed as contributing to Internet addiction. One theory concerns the moodaltering pote
Broward College - PSY - PSY2012
Internet addiction disorderPhoto by: Giuseppe ParisiDefinitionInternet addiction disorder refers to the problematic use of the Internet, including the variousaspects of its technology, such as electronic mail (e-mail) and the World Wide Web. The reade
Broward College - PSY - PSY2012
Internet addiction disorderSymptomsOne symptom of Internet addiction is excessive time devoted to Internet use. A person mighthave difficulty cutting down on his or her online time even when they are threatened with poorgrades or loss of a job. There
Broward College - PSY - PSY2012
Major depressive disorderSymptomsThe core symptom of major depression is a sad mood that does not go away. While most peoplehave occasional days when they feel out of sorts, persons with MDD experience low feelings thatbuild gradually over a period of
Broward College - PSY - PSY2012
Major depressive disorderDemographicsRecent research indicates that 4.9% of the population of the United States meets the diagnosticcriteria for MDD at any given time, but 17.1% will experience at least one episode of thedisorder at some point during