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Midterm

Exam 2

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Department
Psychology
Course
PSYC 3082
Professor
All Professors
Semester
Winter

Description
Psychology3082AbnormalPsychologyExam2Chapter4AnxietyDisordersPTSDandOCDPosttraumaticStressDisorderPTSDOneoftheveryfewdisorderswhereoneofthecriteriaishappeningexternallyexposuretoatraumaticeventoMostcommonarewarrapeabortionrobberiesnaturaldisastersplanecrashesRequiresexposuretoaneventresultinginextremefearhelplessnessorhorrorCriterionAPersoncontinuestoreexperiencetheeventCriterionBoegintrusivememoriesunwantednightmaresvividflashbacksAvoidanceofcuesthatserveasremindersofthetraumaticeventCriterionCoKidswhohadPTSDfromKatrinabecomefranticwhenabadweatheralertcomesontheTVoThedatetimeorseasoncouldbeareminderoSmellssoundscolorsTVprogramscouldallberemindersEmotionalnumbingandinterpersonalproblemsarecommonCriterionCoMostcommonamongrepeatedphysicalorsexualabuseManytimesthevictimsarecompletelydetachedPhysiologicalhyperarousalCriterionDoIncreasedheartratedifficultysleepingverycautiousexaggeratedstartleresponsePTSDdiagnosiscannotbemadeearlierthan1monthposttraumaMarkedlyinterfereswithonesabilitytofunctionCausesandAssociatedFeaturesoStatisticsCombatandsexualassaultarethemostcommontraumasAbout78ofthegeneralpopulationmeetcriteriaforPTSDPTSDwasfirstrecognizedandnamedafterWWIIwheremanyveteranswerereportingthesesymptomsinlargenumbersThenameatthetimewasshellshockedoSubtypesandAssociatedfeaturesofPTSDknowsubtypesforthetestAcutePTSDdurationofsymptomsis1to3monthsEarlieryougettreatmentthebettertheprognosisChronicPTSDDurationofsymptomsismorethan3monthsDelayedonsetPTSDonsetofsymptoms6monthsormoreposttraumaoAcuteStressDisorderDiagnosedwithinfirstmonthofposttraumamarkedlyinterferingwithoneslifeImportanceofdissociationTreatmentoCausesofPTSDcanlastalifetimebutthemorethepersonisexposedtothetraumathebetteritwillbeandtheyhavetohavegoodcopingskillsearliertheyaretreatedthebetterIntensityofthetraumaandonesreactiontoitietruetraumaUncontrollabilityandunpredictabilityExtentofsocialsupportorlackthereofposttraumaDirectconditioningandobservationallearningThisincludesclassicalconditioningthetraumaticeventistheUCSandleadstoanUCRwhichisfearTheCSisareminderandtheCRistheflashbacksSomeonecanbegeneticallypredisposedtodevelopPTSDTraumainPTSDcanleadtochangesinonesbrainchemistrydoesntmeanthatthemosteffectivetreatmentismedicationpsychologicaliseffective1oPsychologicalTreatmentofPTSDCognitivebehaviortherapiesCBTarehighlyeffectiveandgenerallyinvolveexposuretoavoidedstimuliaswellascognitivereprocessingallrelatedtoclassicalconditioningProlongedexposureonemightbeexposedrepeatedlyinasafeenvironmentwiththesupportofrelaxationskillstothetraumaticinstanceoEvidencebasedtreatmentandprovesveryeffectiveCognitiveProcessingTherapysomeexposurebutwhilethepersonisexposedtheyaretaughttomentallyprocessthetraumadifferentlyoOnlytalkingaboutitiscounterproductiveEMDReyemovementdesensitizationreprocessingtherapynowaformofprocessingtherapybecauseeyemovementhasnothingtodowithitCISDCriticalIncidenceStressDebriefingcontraindicatedbecauseyougetthemtotalkabouttheirproblemsthensendingthemontheirwaykidswitnessingaschoolshootingdoesntworkObsessiveCompulsiveDisorderOCDObsessionsintrusiveandnonsensicalthoughtsimagesorurgesthatonetriestoresistoreliminatecausesanxietyoFlickingthelightsonandoff50timesgermaphobiclockingthedoorsoUsuallydealswithcleanlinessTherearealsoobsessionsdealingwithintrusivethoughtsCompulsionsthoughtsoractionstosuppressthethoughtsandprovidereliefoftenritualsoWashinghandsrepeatedlycheckingthedooroverandoveroHavetotakeacertainnumberofstepsbetweencracksthinkthatiftheydontengageinthiscountingritualobsessionsomethingbadwillhappenbeingpathologicallysuperstitiousMostpersonswithOCDpresentwithcleaningandwashingorcheckingritualsHoardingisaformofOCDifyougetridofsomethingsomethingbadwillhappenCausesandAssociatedFeaturesoStatisticsAbout26ofthegeneralpopulationmeetcriteriaforOCDintheirlifetimeMostpeoplewithOCDarefemaleOnsetistypicallyinearlyadolescenceoryoungadulthoodOCDtendstobechronicifleftuntreatedoCausesofOCDParalleltheotheranxietydisordersEarlylifeexperiencesandlearningthatsomethoughtsaredangerousunacceptableItistheirownthoughtsnothearingvoicesorhavingahallucinationThoughtactionfusiontendencytoviewthethoughtassimilartotheactionThoughtofpunchingsomeoneisasbadasactuallydoingitTreatmentoMedicationTreatmentofOCDClomipramineandotherSSRIsseemtobenefitupto60ofpatientsRelapseiscommonwithmedicationdiscontinuationPsychosurgerycingulotomyisusedinextremecasesoPsychologicalTreatmentofOCDCognitivebehavioraltherapyismosteffectivewithOCDExposurewithresponseritualpreventionspecificcognitivetherapysuccessfulintreatmentofOCDexposuretoobsessionswhilepreventingtheritualsCBTinvolvesexposureandresponsepreventionMostaredonehandson2
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