Study Guide abnormal Exam 4 review

Children who are abused or neglected have a high risk

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Children who are abused or neglected have a high risk of developing conduct disorder and antisocial personality disorder - Treatment for Antisocial : o Lack of motivation is a challenge in treatment Not disturbed by their behavior and have little if any motivation to change Treatment is usually court-ordered - Borderline personality disorder - Cluster B o More strongly activated amygdala o Difficulty performing tasks involving frontal lobes o Low levels of serotonin, and low sensitivity in serotonin receptors o Unusually responsive HPA axis Excess amounts of cortisol o Neurologically vulnerable to emotional dysregulation o History of childhood abuse, neglect, or invalidation - Treating Borderline PD o Medications SSRIs - diminish emotional lability and anxiety Antipsychotics Mood stabilizers - Cluster C (Anxious, Fearful) o May be excessive amygdala activity o High in “harm avoidance” temperament Treatment emphasizes cognitive restructuring, skill-building Treatment for Avoidant PD can use treatment for Social Phobia
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- Be familiar ith the few treatments found useful for personality disorders, especially Dialectical Behavior therapy. - Dialectical Behavior Therapy (DBT) o Incorporates skill development and cognitive restructuring from CBT o Reduce reinforcement for suicidal behaviors o Warm and collaborative bond between patient and therapist o Incorporates: An emphasis on validating the patient’s experience – thoughts feeling and behaviors makes sense in the context of personal experience A Zen Buddhist approach see and accept painful realities of life A dialectics component accepting the situation and aspects that cannot be changed, while recognizing that change must occur in order to feel better Coping skills, interpersonal skills - Chapter 14 Childhood Disorders Be familiar with pervasive development disorders in general. What are the features of autism? What does it mean to be an autistic savant? How are Asperger’s disorder and autism different? What is preserved in Asperger’s? - Pervasive developmental disorders (PDD) o Severe deficits in communication and social interaction skills o Stereotyped behaviors and narrow interests o All areas of life affected; evident during infancy or early childhood o Usually void eye contact and shy away from social interactions o Primarily neurological disorders affecting cognition and behavior - Autistic children : o Tend to engage in very repetitive play and often display stereotyped behaviors o Insist on things staying the same, repeating activities, and become upset when certain routines are not carried out or completed o May speak with a monotone voice, and the rhythm of their voice may be odd o May also display impulsivity or aggression - 'Autistic savant' o a person with an autism spectrum disorder who has an unusual gift or an outstanding skill or knowledge clearly above their general level of ability and above the population norm. For example, a person with autism could have a 'savant' skill in relation to their memory for numbers.
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  • Spring '08
  • -
  • Abnormal Psychology, Borderline personality disorder, Antisocial personality disorder, conduct disorder

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