psych test 2

psych test 2 - Natalie Haft PYSCH TEST 2 Functional...

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Natalie Haft March 31, 2009 PYSCH TEST 2 3/10/09 Functional behavioral analysis of depression Decreased rates of reinforcement Stimulus control # Sources of reinforcement Association Helplessness Few social skills Lack of assertive behavior Reinforcement for depressive behaviors Physiological variance Endogenous vs. exogenous Clinical example- Beck interview “Trapped… nothing works”, thinks about ending life, won’t end relationship with man although unhappy, says the only thing holding her back from killing herself is her child… association- “reminds me of bad things that happened before”- rejection from mother and other men. “I have a knack for getting in bad relationship”= physiological variance… her strategy= treat men well to fix problems- fix their needs as they treat her badly (so she is reinforcing maltreatment)… has illusions about man (that he truly needs her and eventually by treating him well she will get what she needs) Physiological theories of Depression Genetic predisposition (especially bipolar) Neurochemical abnormalities in CNS (Amine Hypothesis) -Norepinephrine -Serotonin -Excess norepinephrine= mania, euphoria *Read about in text
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Chronic Affective Disorders Cyclothymis Disorder Disthymic Disorder MOOD DISORDERS DEPRESSIVE DISORDERS -Major depressive disorders -dysthymic disorder -depressive disorder NOS BIPOLAR DISORDER Bipolar 1-atleast 1 acute manic disorder; major manic episode over the course of your history (sometimes you don’t see depression yet) Some people experience the fluctuations at short periods of time Bipolar 2- one or more hypomanic episodes and probs depressive episodes no acute manic episodes Cyclothymia- more chronic mood shifts -bipolar disorder NOS MANIAS -everything speeds up (thoughts, activities…) -in the depression everything slows down (thoughts activity. .) -changes in eating and sleeping patterns -change in mood, sometimes they feel wonderful -develop all kinds of impractical grandiose plans -very irritable because they feel like everyone else is slowing them down -see a lot of hostility, potential of harm to other people -big time hyperactive, become extremely excessively talkative -flight of ideas- racing thoughts, difficulty staying on topic, easily distractible -hugely inflective self esteem -some don’t get sleep at night and still have twice the amount of energy around them -impulse control is outta wack -typical duration of manic episodes w/out treatment is 6 months -when they come out of manic episodes they function pretty normally. -speed up in motor levels, cognitions. . -onset my be abrupt or slower and more gradual for depression - DEPRESSION
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hallmark for depression is an overwhelming depressed mood, feelings of helplessness, loss of appetite but sometimes weight gain, sleep cycles, a lot of time sleeping, psychomotor retardation (slowdown of activates), loss of energy, difficulties in thinking and concentrating, isolation, don’t get joy over activities anymore
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This note was uploaded on 02/01/2010 for the course PSYC 333 taught by Professor Wilson during the Fall '09 term at Tulane.

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psych test 2 - Natalie Haft PYSCH TEST 2 Functional...

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