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Abnormal/Psychologically Disordered Behavior |
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Definition
A pattern of behavioral psychological symptoms that causes significant personal distress and impairs the ability to function in one or more important areas of life |
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Relates to the ability of the defendant to distinguish right from wrong |
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(Diagnostic and Statistical Manual of Mental Disorders)
Attempts to carefully, systematically categorize and describe mental disorders - fuzzy borders/definitions |
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Overwhelming anxiety disrupts functioning or produces significant stress - Panic disorder, generalized anxiety disorder, phobia, OCD |
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Panic attacks - leads to physiological effects, especially pounding heartbeat
Can lead to fear of panic attacks, further stressing defendant |
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Generalized Anxiety Disorder |
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Definition
Persistent, high levels of anxiety/excessive worry (6+ months) |
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Persistent, irrational fear of specific objects/situations -simple (arachnophobia, claustrophobia) - agoraphobia (fear of open spaces - can lead to shut-in/closed off behavior) - social phobias (public speaking) |
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Obsessive Compulsive Disorder |
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Obsessions: Thoughts/impulses recurring despite attempts to suppress them
Compulsions: Repetitive, purposeful, yet undesired acts performed ritualistically in response to obsession - Defendants recognize the senselessness of behavior, but too difficult to resist compulsion when anxiety rises |
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Complaints of physical symptoms with no physiological explanation (all in the head) - Hypochondriasis: persistent occupation with and worry about ones physical condition |
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Disturbances or changes in memory, consciousness, or identity - May occur after stressful or psychologically traumatic event - Dissociative amnesia, dissociative fugue, depersonalization disorder, dissociative identity disorder |
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Partial or total loss of important personal information - Not related to amnesia resulting in physical brain damage |
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Confusion over personal identify, assuming a partial or completely new identity - Often accompanied by unexpected travel away from home |
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Depersonalization Disorder |
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Feelings of unreality with respect to self and environment - i.e. I'm not controlling my actions, out of body experiences
(most common) |
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Dissociative Identity Disorder |
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Definition
Existence of two or more distinct personalities within one person -Original personality unaware of others, others are aware of each other; each has their own name -May not remember events that occurred while under influence of other personality |
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Long-standing, chronic, inflexible maladaptive patterns of perception, thought, and behavior that impairs ones ability to function personally or socially - Usually recognized by adolescence - Difficult to measure how serious |
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Narcissistic Personality Disorder |
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Definition
Irrationally large sense of self-importance - Constant need for attention/admiration - Inappropriate reactions to criticism |
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Antisocial Personality Disorder |
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Long-standing pattern of irresponsible behaviors that hurt others with no feelings of guilt or remorse - Hardly any experience with intense emotions of any kind |
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(Most common psychological disorder)
Significan and chronic disruption of mood - Different from normal moods on basis of duration, intensity, and lack of cause - Some evidence of genetic influence |
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Emotional Symptoms: sadness, hopelessness, guilt, distance from others
Behavioral: dejected, downcast demeanor, slowed movement/speech, spontaneous crying, loss of interest
Cognitive: difficulty thinking/concentrating/remembering
Physical: severe changes in weight, sleep patterns, energy level, vague aches |
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Euphoria, expansiveness, excitement - Out-of-character energy, frenzied/disorganized goal-directed activity, rapid-fire speech/though shifting, spending sprees - Wildly inflated self-esteem |
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Alternating episodes of depression and mania - Onset typically occurs in early twenties, affects men/women at same rate - Responds favorably to drug therapy |
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Loss of contact with reality - Usually includes fantasies, delusions, or false beliefs |
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A group of severe psychological disorders - Breakdown of personality functioning - Withdrawal from reality - Distorted emotions, disturbed thought Defendant can suffer from: delusions, hallucinations, disturbances of motor activity, little to no emotion, ignorance of personal hygiene, lack of meaningful speech |
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Strongly held delusions of persecution or grandeur - delusions make sense to them, but not others |
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Frozen, rigid, or excitable motor behavior - Can last for hours |
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Gradual onset - usually starts with social withdrawal Peculiar Phrase - increased withdrawal, introduction of peculiar actions or speech Active Phrase - Full blown symptoms Residual Phrase - Symptoms lose prominence, some impairment remains Recovery |
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Rule of Thirds (Schizophrenia) |
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Definition
1/3 recovers, 1/3 therapy works with some retention of symptoms, 1/3 no recovery |
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Delving into unconscious conflicts or thoughts with a neutral therapist |
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Clients direct the therapy process - Requires genuine, empathic behavior from therapist |
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Clients experiencing similar problems meet under direction of therapist - "you aren't alone" i.e. AA |
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Therapist and client confront irrational beliefs, demonstrating on paper/out loud their irrationality, coming up with other, more rational responses |
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Systematic Desensitization |
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Gradually decrease negative response to stimulus |
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Intensify negative response to stimulus |
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Psychopharmacological Treatment (Drugs) |
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Definition
- Anti-psychotics (Therazine) - Antidepressants (Prozac) - Lithium, anticonvulsants - Anti-anxiety (Tranquilizers) |
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Electroconvulsive Therapy |
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Definition
Pass current through the brain, causing convulsions - Used for major depression with psychosis - Causes short-term memory loss, may cause certain euphoric feelings |
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