MH707 Exam 4 Questions and answers
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Impairments in complex attention: ✔✔sustained attention, divided attention, selective attention and
processing speed.
Impairments in executive functioning ✔✔planning, decision making, working memory, responding
to feedback/error correction, overriding habits/inhibition, mental flexibility.
Impairments in learning and memory ✔✔immediate memory, recent memory, (including free recall,
cued recall and recognition), verY long-term memory (semantic and autobiographical), implicit learning
Impairments in language ✔✔expressive language, (including naming, word finding, fluency and
grammar and syntax), and receptive language.
Impairments in perceptual and motor ✔✔includes abilities subsumed under the terms visual
perception, visuoconstructional, perceptual-motor, praxis and gnosis.
Impairments in social ✔✔recognition of emotions, theory of mind.
Test to examine executive functioning ✔✔Clock-drawing test
Trail making test Form B
Stroop test
,Wisconsin Card sorting
Verbal fluency tests
Design fluency: rapid generation of novel designs
How and when to diagnose personality disorders: ✔✔1. When personality traits are rigid and
maladaptive and produce functional impairment or subjective distress.
2. Occurs over many years since adolescence or young adulthood at least.
3. Need to acquire a long-term view of patient.
4. Impairment of at least 2 areas:
a. the way they perceive and interpret themselves, other people, and events.
b. The appropriateness of their emotional responses.
c. How well they function when dealing with other people in relationships.
d. Whether they can control impulses.
Window technique in assessing personality disorders ✔✔1. Entails beginning with patients
major symptoms and using them as "windows" for exploring roots of PD.
2. Generally done towards the end of PPH and after ID of major symptoms and syndromes and tx
hx. then, ask question about events and each time symptoms arose.
3. Does not point to specific PD, but provides "window".
4. Example- major depression product of any PD, but arrived to depression by different route.
5. Looking for enduring personality traits-not just recent.
Behavioral symptoms of borderline personality disorder ✔✔Mnemonic: I Raised a Pain
, I: Identity disturbance
R: Relationships are unstable
A: Abandonment frantically avoided (real or imagined)
I: Impulsivity
S: Suicidal gestures (threats, self-mutilation)
E: Emptiness
D: Dissociative symptoms
A: Affective instability
P: Paranoid ideation (stress-related and transient)
A: Anger is poorly controlled
I: Idealization followed by devaluation
N: Negativistic (undermine themselves with self-defeating behavior)
Borderline personality disorder ✔✔The essential feature of borderline personality disorder is a
pervasive pattern of instability of interpersonal relationships, self-image, and affect.
General personality disorder symptoms ✔✔1. An enduring pattern of inner experience and
behavior that deviate markedly from the expectations of the individual's culture. This pattern is
manifested in two(or more) of the following areas:
a. Cognition (ways or perceiving and interpreting self, other people, and events).
b. Affectivity: ( the range, intensity, lability, and appropriateness of emotional response).
c. Interpersonal functioning
d. Impulse control
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