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direction of one's sexual attraction and emotional desire for a romantic partner |
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a strong persistent identification with another gender (not just desire for any perceived cultural advantages of being other sex) strong, persistent sense of discomfort with one's anatomic gender or with behaviors that typify gender (see genitals as repugnant, urinate like other gender, believe born into wrong body, wish for medical intervention/hormone treatments) no intersex condition (ambiguous sexual anatomy) surgery more practical from male to female process: psych screening, hormone therapy, live as gender for 1 year, consider surgical alteration |
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Transexualism in children |
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4+ needed: 1. repeated expression of desire to be opposite sex 2. preference for wearing clothes of other gender 3. persistent fantasies about being member of other gender or assume role of other gender in play 4. desire to participate in activities and games considered stereotypical of other gender 5. strong preference for playmates of other gender |
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2+ for 1+ months: delusions, hallucinations, disorganized speech, grossly disorganized/catatonic behavior, negative symptoms (ex: flat affect/emotions) duration of 6+ months types: paranoid (most common, delusions of paranoia or delusions of grandeur), disorganized, catatonic, undifferentiated, residual |
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"love of the abnormal" recurrent, powerful, persistent sexual urges/fantasies/behavior that center around either non-human objects, humiliation/pain of self or partner, or children/persons not granting consent |
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"flashers" 6+ months, recurrent intense sexual urges/fantasies involving exposure of genitals to unsuspecting stranger; causes distress, impairment usually aroused and masturbating during event, begins before age 18, usually not interested in contact personality; shy, dependent, no social/sexual skills, doubt masculinity, feelings of inferiority |
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6+ months, urges/fantasies involving use of nonliving objects by themselves; not just articles of clothing meant for sexual use (i.e. lingerie) |
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cross dressing for sexual gratification 6+ months, heterosexual male, recurrent urges/fantasies involving cross dressing |
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"peeping tom" 6+ months, urges/fantasies act of observing unsuspecting person who is naked, disrobing, engaging in sexual activity, usually masturbating while watching |
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6+ months, urges/fantasies touching/rubbing against non-consenting person; not coercive nature of act sexually exciting - more touching |
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6+ months, urges/fantasies sexual act with prepubescent, at least 16 years old or 5 years older than child how they trap children: educational value, child is deriving pleasure, child is provocative and wants it - often previously sexually abused in childhood with anxiety, PTSD, depression, aggression, guilt, EDI, perpetration, drug abuse, self-destructive |
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6+ months, urges/fantasies being humiliated, beaten, suffering |
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6+ months, urges/fantasies psychological/physical suffering or humiliation of victim is sexually exciting |
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normal sex with abnormality in process caused by patterns in relationships, performance pressure/anxiety regarding sex, environmental stress treatment: Masters & Johnson's Sensate Focus, systematic desensitization |
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Normal Sexual Response Cycle |
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Desire (Parasympathetic NS) -> excitement (para) -> orgasm (sympathetic NS) -> resolution (para) |
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Hypoactive Sexual Desire Disorder |
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Definition
persistently/recurrently deficient/absent sexual fantasies and desire for sex |
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persistent/recurrent aversion to/avoidance of all/almost all genital contact with sexual partner |
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Left out Female Sexual Arousal Disorder, Male Erectile Disorder, Female Orgasmic Disorder, Male Orgasmic Disorder, and Premature Ejaculation |
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Definition
cuz they're self-explanatory. |
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genital pain associated with intercourse |
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involuntary spasm of musculature of outer third of vagina that interferes with sexual intercourse |
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formerly organic disorders brain dysfunction from organic causes (trauma, disease, nutritional, neurotransmitter problems, substance abuse), temporary/permanent brain dysfunction, presumed/known biological cause, affects daily functioning Axis I with medical cause on Axis III |
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"straying from the line" disturbance of consciousness with reduced ability to focus, sustain, or shift attention change in cognition or development of perceptual disturbance, includes: reduced level of consciousness, perceptual disturbances, disturbance of sleep-wake cycle, increased/decreased psychomotor activity, disorientation to time/place/person, memory impairment develops over short period and fluctuates presumed organic factor |
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increased agitation in evening |
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development of multiple cognitive defects, memory impairment, 1+ of: aphasia, apraxia, agnosia, disturbance in executive functioning (planning, organizing, etc.) gradual onset, continuing cognitive decline |
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Alzheimer's, Picks disease, Korsakoffs (alcoholism), tumors, metabolic imbalances - thyroid, kidney; vascular dementias - stroke/CVAs, HIV, head trauma |
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50% all dementia cases; caused by neuritic plaques/neurofibrillary tangles; no definitive tests treatment/care: drugs to stop decline of neurotransmitters, antioxidants protect against free radicals |
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development of memory impairments manifested by impairment in ability to learn new info or inability to recall previously learned info - amnesia impairment in functioning, decline from previous functioning causes: head trauma, hypoxia, infection, infarction (CVA), Korsakoff's - thiamin defic. from alcohol |
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either 1 or 2: 1) 6+ for 6+ months inattention: no attention to detail/makes careless mistakes in school/work, doesn't listen, doesn't follow through on instructions/fails to finish work, difficulty organizing tasks, avoids tasks requiring sustained mental effort, loses things necessary for tasks, easily distracted, forgetful 2. 6+ for 6+ months hyperactivity: fidgets, difficulty remaining seated, runs/climbs excessively, difficulty playing quietly, on the go, talks excessively
Impulsivity: blurts out answers before ?s are completed, difficulty waiting turn, interrupts/intrudes on others
onset before age 7, symptoms present in 2+ settings (school, home) types: primarily inattentive (formerly ADD) & primarily hyperactive |
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Feingold - believed causes were diet/food-related genetics prenatal risks brain dysfunction in frontal lobe |
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Neuropsychological testing: brain's ability to attend & perform compared to age/gender of peers, rule out other impairments such as learning disabilities parent/teacher ratings, achievement/IQ scores |
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80% reinforcement, 20% punishment/critical behavior modification self-regulation/self-talk stimulant medication (increases dopamine) |
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3rd leading cause of death in teens 90% suffer from treatable psych disorder risk factors: gender, availability of firearms, age, geography, race (suicide more common in rural areas), a bunch of common sense shit blah blah blah |
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systematic interactions between client and therapist - 1-directional uses psychological principles to help client change behavior, feelings, thoughts to overcome abnormal behavior, solve problems, develop as an individual |
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problems rooted in childhood from unconscious conflicts of mind or relationships with others - personality |
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Traditional Psychoanalysis |
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free association - core conflicts dream analysis |
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Modern Psychodynamic Therapy |
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scientific evidence how personality affects relationships |
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focus on subjective experience (here & now) |
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Roger's Client Centered Therapy (Humanistic-Existential) |
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foundation for training psychotherapists - unconditional positive regard - empathic understanding - genuineness - congruence |
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- EDO inpatient (eating disorder) - empty chair |
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cognitive automatic thoughts |
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cognitive core beliefs values rules |
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Cognitive Distortions: Mind reading |
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tendency to assume what others think instead of clarifying |
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Cognitive Distortions: All or None Thinking |
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tendency to interpret events in black & white terms when most of the world is grey area |
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Cognitive Distortions: Overgeneralization |
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tendency to draw larger general conclusion from smaller isolated event |
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Cognitive Distortions: Catastrophizing |
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expect worst case scenario |
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Cognitive Distortions: Arbitrary/Superstitious Inferences |
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reaching conclusion in absence of real evidence, or predicting future without evidence |
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Cognitive Distortions: Magnification/Minimization |
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exaggerating negative or devaluing the positive |
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Cognitive Distortions: Personalization |
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tendency to blame oneself for negative external events when there's no evidence |
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Cognitive Distortions: Mental Filter |
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tendency to focus exclusively on single detail while ignoring more accurate, bigger picture |
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Cognitive Distortions: Emotional Reasoning |
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tendency to believe that if you feel it, it must be true |
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Cognitive Distortions: Should Statements |
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tendency to believe that you should do things a certain way which ignores your preferences, leads to guild/resentment, ignores choices |
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Cognition & Behaviorism - Behavioral |
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Definition
- systematic desensitization/flooding (exposure therapy) - aversive conditioning - social skills training * - operant conditioning - self-regulation skills (goal-setting, self-monitoring, contingency management, cognitive restructuring) |
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Alright, I'm too lazy to put in the rest of the last day of notes we took since it's pretty fresh in our heads. |
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