psych exam 3

A good way to describe a typical manic episode would be to say that it is like a:

flash flood—spreading out wherever there is room for it to go.

children rates

infrequent and people see it as a behavioral struggle

binges

ingest very large amounts of food, normally in secret with sweets/high calories/soft foods.

% schizophrenia

10

nonsuicidal self-injury (NSSI)

Direct and deliberate destruction of one's own body tissue that is not accompanied by an intent to die.

restricting type

Lose weight by cutting out sweets and fattening snacks, eventually eliminating nearly all food Show almost no variability in diet

Binge-eating/purging type

Lose weight by forcing themselves to vomit after meals or by abusing laxatives or diuretics Like those with bulimia nervosa, people with this subtype may engage in eating binges

women

OD. guns make up 32%

% unipolar/ bipolar

70

what is percent of people who drink before?

70%

medical problems of anorexia

-Amenorrhea -Low body temp, low blood pressure -Body swelling -Reduced bone density -Slow Heart rate -Metabolic imbalances -Dry skin -Poor circulation

two ways eating disorders are treated?

1- correct dangerous eating patterns 2- address broader psychological and situational factors

Age of anorexia?

14-20

% chronic alcoholism

20

subintentional suicide

A death in which the victim plays an indirect, hidden, partial, or unconscious role.

retrospective analysis

A psychological autopsy in which clinicians piece together information about a person's suicide from the person's past. - suicide notes - medical history

Modeling: Contagion of suicide

A suicidal act appears to serve as a model for other such acts, especially among teens.

During a manic episode, Angie tells her partner that she is getting a tattoo. Her partner tells her that they don't have extra money for a tattoo and explains that they need the money for food. Which response would be typical in this situation?

Angie ignores her partner's request and gets a tattoo anyway.

why in adolescence

Clinical depression, low self-esteem, hopelessness and Anger, impulsiveness, alcohol or drug problems

Psychodynamic view

Depression and anger at others that is redirected toward self

who do they model?

Family members and friends, Celebrities and highly publicized cases, Coworkers and colleagues Postvention

A 12-year-old middle-school European American girl from a middle-class socioeconomic background has been diagnosed with bipolar I disorder. Which of her characteristics is MOST unusual for those with bipolar I disorder diagnosis?

Her age

Anorexia Nervosa

Individual purposely takes in too little nourishment, resulting in body weight that is very low and below that of other people of similar age and gender. - fearful of gaining weight - distorted body perception

Which statement is TRUE regarding the prevalence of bipolar disorder?

It affects millions of people in the United States, between 1 and 2.6 percent of all adults.

Clinical Picture of Anorexia

Key goal is becoming thin Driving motivation is fear Preoccupation with food occurs Thinking is distorted Usually have a low opinion of their body shape Tend to overestimate their actual proportions Hold maladaptive attitudes and misperceptions

Treatments after suicide attempts

Medical care Appropriate follow-up with psychotherapy or drug therapy

progression of bulimia nervosa

Normal to slightly overweight female has been on intense diet Begins in adolescence or young adulthood, lasts for years with periodic letups Weight fluctuates but often stays within normal range

Interpersonal view

Perceptions related to desire for suicide Perceived burdensomeness Thwarted belongingness

Suicide

Self-inflicted death in which one makes intentional, direct, and conscious effort to end one's life

Durkheim's sociocultural view

Suicide probability is determined by attachment to social groups such as family, religious institutions, and community.

what is the MOST accurate description of the symptoms of mania?

They don't include a sense of the impact of one's actions on others.

which statement is TRUE regarding people experiencing mania?

They want excitement and companionship.

How is suicide studied?

Using retrospective analysis as psychological autopsy Studying people who survive their suicide attempts

On an impulse, Jaxson decides to throw a huge party. It takes four days of round-the-clock work to get everything ready, and then Jaxson welcomes more than 200 guests. When the police stop by because Jaxson has blocked a public road to have room for the party, he flies into a rage. It is MOST likely that Jaxson is experiencing:

a manic phase of bipolar I disorder.

Progession of anorexia

a normal to slightly overweight female has been on a diet. May follow a stressful event

Hopelessness

a pessimistic belief that one's present circumstances, problems, or mood will not change

Amenorrhea

absence of menstruation

self-harm

addictive, offers some kind of relief. feel empty, negative, isolated, and indignity confusion

Three main types of eating disorders?

anorexia nervosa, bulimia nervosa, binge eating disorder

Talking rapidly, dressing flamboyantly, and getting involved in dangerous activities are _____ symptoms of mania.

behavioral

A manic episode is to hypomania as _____ is to _____.

bipolar I disorder; bipolar II disorder

Someone who experiences four or more alternations between mild mania and major depression within a one-year time span would be classified as having:

bipolar II rapid cycling.

Psychodynamic binge-eating

bruch= disturbed mother and child interactions lead to serious deficits.

Perceived burdensomeness

burden on families, friends, society, believe better to die for them.

egoistic

carried out by people whom society has little control of. isolated, alienated, non-religious ppl

death seekers

clearly intend to end their lives at the time they attempt suicide. This singleness of purpose may last only a short time

death initiators

clearly intend to end their lives, but they act out of a belief that the process of death is already under way and that they are simply hastening the process. Some expect that they will die in a matter of days or weeks.

stressful events?

combat stress, loss of loved one, loss of job, natural disasters- immediate

death ignorers

do not believe that their self-inflicted death will mean the end of their existence. They believe they are trading their present lives for a better or happier existence.

Thwarted belongingness

dont feel connected to family and social network

death dares

experience mixed feelings, or ambivalence, about their intent to die, even at the moment of their attempt, and they show this ambivalence in the act itself.

Lanugo

fine downy hair of newborn infant

Biological view

genetics and brain development

feeling after binging

great tension, self-blame, shame, guilt, depression

Hypothalamus

helps regulate bodily functions like hunger and eating. control of appetite

transgender rates

higher because of abuse, prejudice, and stigma

Cognitive behavioral factors in binge-eating

little controls in life mean excess control of body size. negative self judgement based on body

Introjecting

lost person (Freud; Abraham): Anger over a lost loved one turns to self-hatred and then depression

mental disorders

majority of suicide attempters have a psychological disorder.

enmenshed family

members are over involved with others affairs and welfare

highest in what age?

middle age 45-64

adolescence

more common at the age of 13. higher in girls

the elderly

most likely to commit suicide and most successful. - illness - loss relationships, control of life, social status

A person experiencing mania goes out with friends, looking for adventure. In addition, the individual talks loudly, runs rather than walks, and gives away a lot of money to random people on the street. These symptoms are primarily:

motivational and behavioral.

higher suicide in

never married and divorced

Death instincts/Thanatos (Freud)

people learn to redirect their death instinct by aiming towards other people

internet

pro-suicide websites 7.5 look to internet livestreaming

Bulima Nervosa (BN)

repeated binge eating episodes. make themselves sick in order to not gain weight. weekly for 3 months. Secret!

The difference between bipolar I disorder and bipolar II disorder is the:

severity of the manic episodes.

anomic

social environment fails to provide stable structures, family, religion, giving meaning to life. disorangized, inadequate, decaying society

long term

social isolation, illness, injury, abusive environment, occupational stress

lateral hypothalamus

stimulates hunger

Triggers?

stressful events, mood and thought changes, alcohol and other drug use, mental disorders, and modeling

According to DSM-5, all of the following are considered symptoms of a manic episode EXCEPT:

suicidal ideation.

ventromedial hypothalamus

suppresses hunger

weight set point

the particular level of weight that the body tries to maintain

body dissatisfaction

the single most powerful contributor to dieting and to the development of eating disorders. - 83% of all women

altrustic

undertaken by people well integrated into social cultures- intentionally sacrifice their life for others ( ex. teacher in a school shooting)

binge eating disorder

unusually fast eating, uncomfortable fullness, secrets eating due to shame

Dichotomous thinking

viewing problems and solutions in rigid either/or terms

men

violent ways like shooting, stabbing, or hanging. guns make up 56%

compensation behaviors

vomiting, laxatives