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Helping Relationship Comps Study Guide #3 Define the Following: Psychological Dysfunction; Etiology; Equifinality; Comorbidity and Adaptive Functioning

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Helping Relationship Comps Study Guide #3 Define the Following: Psychological Dysfunction; Etiology; Equifinality; Comorbidity and Adaptive Functioning Helping Relationship Comps Study Guide #3 Define the following: psychological dysfunction; etiology; equifinality; comorbidity and adaptive functioning. Psychological dysfunction is a breakdown in a person's thought processes, emotional functions or behavior. A diagnosis of psychological dysfunction must consider the patient's cultural context, his personal distress and the extent to which his ability to function is impaired. Etiology is the study of the causes of disease or abnormal conditions, whether the cause is biological, psychological, or arises from the patient's social environment. Equifinality can be defined as multiple paths leading to the same outcome. An example of equifinalilty in abnormal human behavior would be physical injury or illness, the loss of a loved one or alcoholism leading to depression. Comorbidity is the coexistence of two or more diseases or disorders such as alcoholism and depression. The conditions may have a causal relationship with each other, or there may be an underlying predisposition for both or all of them. Adaptive functioning is coping with stressful situations through defense mechanisms such as anticipation, humor and sublimation. Persons who fail to adapt can develop a breach with reality. Explain what occurs in a neuropsychological assessment. There is a need at first to determine the extent of the loss of a particular skill and the area of the brain that might have been damaged by injury or neurological illness, neuropsychological assessment has become a measurement of brain dysfunction relating to language, attention, concentration, memory, and perceptual and motor skills. It is still used also to determine the location of damage to the brain. Examples of neuropsychological assessment instruments are the Luria-Nebraska Neuropsychological Battery, used to measure organic brain damage and the location of injury and the Bender® Visual-Motor Gestalt Test, which measures brain dysfunction. Explain the difference between emotion and mood, ego-dystonic and ego-syntonic, and clinical assessment and diagnosis. Emotion is a mental state arising spontaneously as a reaction to some stimulus and is usually accompanied by physiological changes in the person's body. Mood is a state of mind, which can be caused by motions or events or a combination of the two. Ego-dystonic pertains to behaviors, values, and feelings, which are inconsistent with the person's basic concept of his self (ego) and can lead to a psychological disorder. Ego-syntonic pertains to behaviors, values, or feelings that are consistent with the person's ego. Clinical assessment uses tests and tools to determine the psychological, physiological, and social factors that are the cause of a psychological disorder. Diagnosis determines whether or not the problems meets the criteria for a psychological disorder. Describe play therapy. Play therapy is of special interest to counselors who typically have children for clients. Usually play therapy is done on a one-to-one basis; however it may be used within the process of family therapy as well. While playing the children learn how to better control their emotions, the difference between right and wrong, and a number of cognitive skills. The child decides what to play with and any rules associated with the play. The counselor watches and listens carefully in order to asses the child's problems and coping mechanisms. Sometimes the counselor may play along with the child helping them to make good decisions. Play therapists may use dolls, puppets, toy vehicles, or any number of "open ended" toys that can be played with in a creative and expression filled manner. Perhaps the most important element of play therapy is the bond of trust created between child and counselor as well as unconditional acceptance on the part of the counselor. Give the 5 areas covered by a formal mental status exam and examples of the types of assessments available to professionals. A formal mental status exam is an assessment of a person's appearance, behavior, thought processes, mood, emotions, intelligence, and of his awareness of surroundings, time, location and his own identity. Some factors such as thoughts, feelings and behavior may be assessed by direct observation, while psychological assessment tests are used to evaluate intelligence and personality characteristics. Some of the assessment instruments are unstructured projective tests in which the person's responses reflect his personality, including hidden emotions and internal conflicts. These instruments include Rorschach, Thematic Apperception Test and Incomplete Sentences Blank. Personality tests such as the Minnesota Multiphasic Personality Inventory (MMPI) can be used to ascertain stable aspects of a person's character. Intelligence tests include the Wechsler Intelligence Scale for Children (WISC-II-R) and the Stanford-Binet (SBIV). They are used to determine the level of a person's intellectual ability. Explain the following types of disorders: anxiety disorders; somatoform and dissociative disorders; and mood disorders, and their usual treatment. Anxiety is a state of uneasiness or apprehension, which can cause physical tension. The tension of looking forward to an event can be positive. Severe anxieties or multiple anxieties, especially when they have comorbidity with another disorder are abnormal behavior. Panic disorder, phobias, posttraumatic stress, and obsessive-compulsive behavior are examples of anxiety disorders. Medication, relaxation techniques, cognitive behavioral therapy, and exposure exercises are acceptable treatments for anxiety disorders. Somatoform disorders involve physical symptoms for which no specific physical cause is present The disorders include hypochondrias, somatization disorder, conversion, and pain disorder. Treatment is more management than cure and may or may not include medication. Dissociative disorders involve the breakdown of a person's perceptions of his environment, his n1emory or identity. Dissociative disorders include dissociative amnesia, dissociative fugue (flight), dissociative identity disorder (multiple personality) and depersonalization disorder. Psychotherapy and sometimes hypnosis are among the treatments for dissociative disorders. A mood disorder is a condition in which the person's prevailing mood is disturbed or inappropriate. The disorders include depression, anxiety, and bipolar syndrome. The mood disorders are the most common psychological illnesses and are increasing worldwide in Joth the adult and child populations. List basic facts about suicide. Suicide is among the ten most frequent causes of death in the United States with approximately 30,000 recorded each year. The actual number is estimated to be closer to 75,000. • The suicide rate increases with age. • Among 15-24 year olds, suicide is the third most frequent cause of death with about 4,000 each year. • Males are more likely to commit suicide than females, but the attempt rate is higher among females. • Groups at greatest risk include Native American and Alaska Natives, adolescents and gay and lesbian youth. No differences in the profiles of suicidal and non-suicidal individuals are revealed by such standard personality tests as the MMPI and Rorschach. Indications that a person may make a suicide attempt include depression and anger, experiencing loss or rejection, talking about suicide, planning and securing the means to commit suicide, and giving away possessions. Counselors should be aware of support groups, have a crisis plan, and involve the community when working with at-risk clients. Define the following: co-dependents, mediation, assertiveness training, and androgyny. Co-dependents are people in relationships with addicted or troubled persons. The addiction can be to drugs, alcohol, or self-destructive behavior. Some form of psychological dysfunction may also be involved. The relationship may be that of lovers, spouses, family members, friends, or co-workers. The codependent becomes an enabler or rescuer for the other person. He or she makes excuses for the person or may deny that there is a problem. Mediation is the resolution of a conflict between two or more parties by the intervention of a neutral party. Assertiveness training is a psychotherapy method that helps a person to learn to state both negative and positive feelings directly. The method does not encourage aggressive behavior. Androgyny is defined as having both male and female characteristics. Describe the theories of Leon Festinger, Kubler-Ross and Masters and Johnson. Leon Festinger developed the concept of cognitive dissonance. Cognitive dissonance is the mental discomfort that arises when a person does omething that conflicts with his beliefs or normal behavior or when he olds conflicting opinions. Festinger presented his theory in his 1957 book A Theory of Cognitive Dissonance. Elisabeth Kubler-Ross in her book On Death and Dying described five stages people go through when faced with death or other catastrophic events. The five stages are denial, anger, bargaining for time, depression, and acceptance. Pioneers in the field of research into human sexuality, William Howell Masters and Virginia Eshelman Johnson advanced the ideas that sexuality is a healthy human trait and that pleasure and intimacy during sex are socially acceptable goals. They made several discoveries about human sexual response and wrote several books on the subject Explain the difference between diagnosis, prognosis, intervention, recommendation, statistical norm and cultural norm.
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