Behavioral health quiz

From Iusmicm

• started here at 03/23/11.

Contents 1 Behavioral psych quiz prep 1.1 What is covered? 1.2 Bereavement 1.3 Late in life 1.4 End of life 1.5 5 divisions of childhood 1.5.1 Infant motor development 1.5.2 Attachment 1.6 Object permanance vs. constancy 1.7 Gender 1.8 Preschool thinking= 1.9 Four types of parenting 1.10 School age 1.11 IQ and retardation 1.12 Freud 1.13 Adolescents 1.14 Family development 1.15 Sexual development 1.16 Adult years

[edit] Behavioral psych quiz prep

• 32 Multiple choice questions
• 75% to pass
• The quiz is on March 28 from 1PM to 2PM

• We take the quiz because we were below average on STEP 1 and now we do a little above average on STEP 1.

[edit] What is covered?

• ICM sessions 4, 8, 11, 16, and 18.
• Read stoudemire, but she has summarized them.
  • The quiz is written to her study guide, not the student guide.
• Know the concepts and terms in the behavior study guide.
• Look at the glossary for each section

[edit] Bereavement

• There is normal grief like crying, numbness, etc.
• Other things that are normal:
  • wishing they had died with the deceased
  • feeling like the deceased are present or that they saw them
• Ambivalence and guilt is normal
• Bereaving patients often look for skapegoats.

[edit] Late in life

• There are increasing external threats: financials, loss of body function (hearing, etc.)
• Patients are looking for new roles
• Know the normal physiological changes and capabilities (sleep, sex, eating, etc.)
• There is struggle with isolation
• Physician's role may be to monitor and advise

[edit] End of life

• Increased interest in the transcendent
• 3 factors about impending death:
  • You will cease to be
  • Fears and myths about death
  • Denial that people death
• The most common fears in age are lonliness, suffering, pain, and being left alone, no one will stick with them
• Death is a transition. The hard part is that it is a transition to the unknown.
• Physicians and death
  • Don't have to worry about addictions in terminal illness.

[edit] 5 divisions of childhood

• 5 stages: infants (carried in arms), toddlers (toddle along), early childhood, school age, and adolescence

[edit] Infant motor development

• There will be vignettes that describe a patient and we'll be asked to identify which age groups they are in.

[edit] Attachment

• Test will cover some of the people and theories of development.
• Stranger anxiety versus separation anxiety
  • Baby doesn't struggle to leave mom, looks at you, then cries (6-8 months)
  • Separation anxiety is when they leave their own caretaker and then usually settle after a bit (10-12 months)
• Bowlby and Ainsworth did lots of work about bonding.
• Spitz did work on orphans who got very little physical contact; anaclitic depression -> failure to thrive
• Mahler did work on how a child can separate from mom and how they interact with mom.
  • Well known for object constancy
• Chess and Thomas had to do with temperament
  • 9 dimensions; three groups (easy, difficult, slow to warm)
  • Goodness of fit: how parents and kid temperaments interact

• Paiget and cognitive development
  • How thinking develops from abstract to concrete.
• Erikson stages
  • First to think that emotional development continues after adolescents.

• Winnicott and the transitional object
  • Like mom, helps separate from mom

• Linear development of play
  • regarding: looking at spoon
  • functiona: feed the doll
  • symbolic: use the spoon for something else like an airplane
  • parallel play: like to be near together but don't play together
  • associative: paly next to one another and do the same thing
  • cooperative: play together

[edit] Object permanance vs. constancy

• Object permanance: that an object exists even when you can't see it.
• Object constancy: the object is still what it was even if you change the shape or color or something.

[edit] Gender

• Gender identity (toddler) versus gender role behavior (preschool)
  • role behavior is knowing what boys versus girls do
• Sexual behavior norms: poking around, wondering what parts are.
  • Abnormal is complex behavior

[edit] Preschool thinking=

• At least one question from this
• KNow the 6 kinds of thinking

[edit] Four types of parenting

• Authoritarian: parent sets all the rules, become less socially competent, hard for them to make decisons, often depressed
• Permissive (hippy): kids make decisions, poor boundaries, socially competent,
• Authoratiative: there are rules but they let the kids make decisions they are ready to make (and then learn from them), most socially competent, least depressed
• Indifferent / neglectful: low self esteem, no rules

[edit] School age

• School age motor:
  • Get handed and footedness
  • Get balance and large muscle control and timing improvement.
  • Puberty begins, 2 years ahead for girls

• School age social:
  • Rigid gender roles
  • Teasing and dares
  • Sexual exploration
    • Still shouldn't see complex behavior but interest is not odd

• School age cognition
  • Concrete thinking (Paiget)
  • Learn multiple dimensions (2D, at least)
  • Develop conservation: quantity, weight, volume (in that order)
  • metacognition: thinking about thinking (ages 10-12)
    • Figure out how they best learn

[edit] IQ and retardation

• Common IQ tests
  • We need to know the names of tests and which ones are only for children

• Mental retardation
  • If pt is normal up to 18 and then has trauma or something that sets IQ back, you call it dimensia.
  • If you don't make it to stable before the low performance it is mental retardation.
  • Know some of the main etiologies
  • Know the primary, secondary, and tertiary prevention
  • See session 8

[edit] Freud

• Many of our current theories are related
• Know it or look like an idiot at a party some day

[edit] Adolescents

• Major adolescent events
  • Trying to determine who you are and what you're about.
    • Differentiating what you are about versus what your parents taught you to be about
  • Sexual development and maturity occurs
  • Lots of risk, lots of angst
    • Accidents, homicide, and suicide
  • Maturity with periods of regression

• Tanner's stages:
  • Know these stages

[edit] Family development

• Stages of family development
  • Session 8

• Developmental terms
  • STage = stable period with few cahnges
  • Transitional stages moves to next stage
  • NOrmative crisis: expected changes
  • Precocious or delayed (late-blooming)

[edit] Sexual development

• Stages of sexual response
  • Masters and Johnson is four stages and most accepted

[edit] Adult years

• Middle adult years
  • 20 common defense mechanisms
  • 8 terms related to psychotherpay
  • Mid-life tasks (not just reassessing and reformalizing but ripping things apart i.e. divorce)
  • Crisis more dramatic than mid-life transition
  • Questions will ask "what is this defense mechanism".

• stopped here on 03/23/11.