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behavior that is inconsistent with developmental, cultural, and social norms that also creates emotion distress or interferes with daily functioning.
Abnormal Psychology
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the low to moderate experience with a substance that does not produce problems with social, educational, or occupational functioning.
Substance Use
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Physiological, behavioral, and cognitive symptoms, the person uses despite significant issues from use.
Substance Use Disorder
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Reversible, you come down from the intoxication, substance specific, maladaptive behavior that causes psychological train, emerges shortly during or after substance use.
Substance intoxication
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requiring an increasing dose of a substance to achieve the desired effect or a markedly reduced effect when taking the usual dose.
Tolerance
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syndrome that occurs when the concentration of a substance declines in an individual who has maintain prolonged and heavy use of a substance.
Withdrawal
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List Behavioral addictions
Sex, gambling, computer games, food, exercise, shopping, work.
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characterized by unusual thinking, distorted perceptions, and odd behaviors. Out of touch with reality.
Psychotic disorders
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loss of contact with reality, usually takes the form of a delusion or a hallucination (what happens during a psychotic disorder but doesnt mean its a psychotic disorder)
Psychosis
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a false belief (believe aliens got them)
Delusions
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a false sensory perception (see/taste/hear/smell/touch)
Hallucination
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severe psychological disorder characterized by disorganization in thought, perception and behavior.
Schizophrenia
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a condition in which a person is awake but nonresponsive to external stimulation.
Catatonia
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Psychotic Disorder - lasts no more than 1 day.
Brief Psychotic Disorder
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schizophrenia and an affective disorder, like major depression, manic, or mixed episode disorder.
Schizoaffective disorder
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identical symptoms of schizophrenia besides duration of the illness is shorter (1 month 6 months) daily activities might still be possibly functioned
Schizophreniform
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consists of the presence of a non-bizarre delusion (an event that might actually happen)
Delusion Disorder
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an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture, is pervasive and inflexible, has the onset in adolescence or early adulthood, is stable over time, and leads to distress and impairment.
Personality disorder
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pervasive distrust and suspiciousness of others that their motives are interpreted as malevolent.
Paranoid personality disorder
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dont care but still have relationships - pervasive pattern of detachment from social relationships, and a limited expression of emotion in interpersonal contexts.
Schizoid personality disorder
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dont want relationships - a pervasive pattern of social and interpersonal deficits marked by acute discomfort, reduced capacity for close relationships, cognitive and perceptual distortions, and behavior eccentricities.
Schizotypal personality disorder
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a pervasive pattern of disregard for and violation of the rights of others. (Psychopath, sociopath, and dissocial personality disorder known as this.)
Antisocial personality disorder
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is a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy. Major sense of self-importance.
Narcissistic personality disorder
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a pervasive pattern of unstable interpersonal relationships, self-image, affect, and impulsivity. Intense bouts of anger, depression, and anxiety may last for hours or a day.
Borderline personality disorder
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pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. (Fear drives them, very, very shy)
Avoidant personality disorder
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pervasive and excessive need to be taken care of, which leads to submissive and clinging behavior and fears of separation. (Jump from relationships cannot be alone)
Dependent personality disorder
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a pervasive preoccupation with orderliness, perfectionism, and mental and interpersonal control to the point of distress. (OCD symptoms change over time you have obsessions and compulsions and seek help, OCPD usually dont seek help, overly rigid, whole goal is to increase productivity, ruled by perfectionism instead of obsessions)
Obsessive Compulsive personality disorder
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disorder with onset during the developmental period that includes both intellectual and adaptive functioning.
Deficits in conceptual (language, reading, writing, math, reasoning,
knowledge, and memory) social (empathy, social judgment, interpersonal,
communication, and friendship skill) and practical (personal care, job
responsibilities, money management, recreation, and organization skills)
Intellectual Disability: (mental retardation)
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a repeated voiding of urine into ones clothes or bedding. Daytime or nighttime, Primary never achieves continence or Secondary gained control but lost it. Most common type is bed-wetting
Enuresis:
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The repeated releasing of feces other than in the toilet, over the age of 4. Can also be primary or secondary. High depression, anxiety, or shame usually
Encopresis:
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a sub-discipline of psychology that addresses issues of aging including normal development, individual differences, and psychological problems unique to older persons (usually ages 65 and older)
Gero-psychology:
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tendency to attribute a multitude of problems to advancing age.
Ageism:
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Disturbance in attention and awareness. Usually occurs in some context of a medical issue. Very sudden onset usually, symptoms can persist for up to six months!
Delirium:
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cognitive decline from a previous level of performance in cognitive domains (attention, executive functioning, learning and memory, language, perceptual-motor, or social cognition). Not accompanied by changes in consciousness or alertness.
Neurocognitive Disorder:
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up to 75% of all neurocognitive disorder patients, forgetting recent events or names, repeating statements or questions, getting lost while driving in familiar places, and experiencing difficulty with calculations.
Mild/moderate neurocognitive disorder due to Alzheimers disease:
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results from cardiovascular disease, such as stroke, transient ischemic attack, coronary heart disease, or untreated high blood pressure. Cannot be cured or reversed but we can treat symptoms (delay the progression of the disease and prolong independence as long as you can).
Major/minor vascular neurocognitive disorder:
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Using the principle of psychology to understand how attitudes and behaviors influence health and wellness.
Health Psychology:
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any negative emotional experience that is accompanied by biochemical, physiological, cognitive, behavioral responses that attempt to change the stressor.
Stress:
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Accepted values that provide guidance in making sound, moral judgments.
Ethics:
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Difference between licit and illicit substances
(legal alcohol, tobacco, caffeine/illegal)
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Licit drugs:
legal drugs alcohol, caffeine, and nicotine.
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stimulant to the CNS (central nervous system), boosts energy, mood awareness, concentration, and wakefulness. Less desirable side effects include: fatigue, depressed mood, inactivity, trouble concentrating, irritability, and feeling foggy.
Caffeine:
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enters through lungs, mouth, skin (patch), both a stimulant and a sedative. You feel like youre calming down, releases dopamine, but increases blood pressure/heart rate.
Nicotine:
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legal (21+) quickly absorbed into the blood stream (stomach or intestines) depressant, affects GABA (bodys natural valium), inhibits brain activity. Socially acceptable, DT (tremors)
Alcohol:
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Marijuana (what does it do to your brain, be specific, symptoms (use/abuse), and withdrawal)
- THC immediately enters the brain and lasts for 1-3 hours. You generally experience a pleasant state of relaxation, intensified color and sound, and slowed perception of time.
- Effects include dry mouth, munchies, thirst, trembling, fatigue, depression, and occasional anxiety or panic. High doses are associated with visual and auditory activity and fascination, increased HR and BP, bloodshot eyes, and occasionally anxiety, panic, and paranoia.
- It stimulates the release of dopamine, leading to the feelings of euphoria.
- Withdrawal includes restlessness, loss of appetite, trouble sleeping, weight loss, shaky hands, irritability, and anxiety.
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Amphetamines (Ecstasy, crystal meth) and Cocaine. Uppers, bennies, and speed produced in a lab.
CNS stimulants:
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Barbiturates and Benzodiazepines
Sedatives:
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downers slurred speech, decreased respiration, fatigue, disorientation, lack of coordination, and dilated pupils.
Barbiturates
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anxiety prescription. Valium, Xanax. Rohipnol (roofies)
Benzodiazepines
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methadone, codeine, morphine, heroin. Produce pain relief, euphoria, sedation, reduced anxiety, and tranquility.
Opioids:
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produce altered states of perception and sensation, intense emotions, detachment from oneself. Mushrooms, peyote and LSD (synthetic)
Hallucinogens:
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most commonly used by teenagers, cleaning fluid, paint, glue, and gas. Rapid onset of sedation, euphoria, and disinhibiting.
Inhalants:
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5 steps to relapse prevention
- 1: Identify Trigger for the situation,
- 2: thoughts during the situation,
- 3: feelings experience in response to the trigger and though,
- 4: drug use behavior, and
- 5: positive and negative consequence of drug use.
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Difference between a lapse and a relapse
Lapse is a single instance of substance use and a relapse is a complete return to pretreatment behaviors.
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Steps to change model
- * Precontemplation stage: limited awareness of the problem, few emotional reactions to substance abuse, and resistance to change.
- * Contemplation stage: more aware of the problem and weigh the positive and negative aspects of their substance abuse.
- * Preparation stage: marked by a decision to take corrective action within the next month
- * Action stage: actual attempts to change environment, behavior, or experiences.
- * Maintenance stage: acquiring and engaging in behaviors that are designed to prevent relapse.
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Unusual thoughts, feelings, and behaviors, such as delusions, hallucinations, etc.
Positive symptoms of schizophrenia
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Different types of delusions
- * Influence
- * Self-Significance
- * Persecution or Paranoid
- * Somatic
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Things that exist in people without a psychiatric disorder but are absent in people with schizophrenia. Diminished emotional expression, anhedonia, avolition, algoia, and psychomotor retardation
Negative symptoms of schizophrenia
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Influence Delusion
behavior or thoughts are controlled by others
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Self-Significance delusion
Thoughts of grandeur, religion (believing youre a god), guilt or sin
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Persecution or Paranoid delusion:
thoughts that others are out to harm the person.
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Somatic delusion:
belief that ones body is rotting away.
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Different types of hallucinations
- Auditory (noises or voices),
- visual (seeing people),
- olfactory (Smells),
- Gustatory (tastes),
- Somatic (feelings of pain or deterioration of parts of ones body)
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apathy, inability to initiate or follow through on plans.
Avolition:
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refers to lack of capacity for pleasure
Anadonia:
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decreased quality and/or quantity of speech
Alogia:
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Difference between personality trait/personality disorders
We all have traits, but dont all have disorders.
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3 Ps of personality disorder
Persistent, pervasive, pathological
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3 clusters of personality disorders and which go where
- A paranoid, schizoid, schizotypal (odd/excentric)
- B antisocial, borderline, histrionic (emotional/erratic)
- C Avoidant, dependent, and OCDPD (anxious and fearful)
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Developmental factors that lead to personality disorders
usually formed before the age of 5, associated with emotional distress and psychological impairment as children, parenting styles make a difference, early childhood trauma
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Treatment of personality disorders
Patient and therapists must make subtle distinctions between healthy and maladaptive behavior patterns. DBT/CBT.
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Big Five Personality Traits
- Extraversion (sociable/lively),
- Neuroticism (Relaxed),
- Conscientious (responsible/careful),
- Agreeableness (gets along with others),
- Openness (welcomes new ideas/experiences)
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Stages of childhood development (3 stages)
Physical, Behavioral, Cognitive
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Treatment of intellectual developmental disorder
Psychological treatment focuses on teaching skills that facilitate community adjustment: self-care, independent living, and job maintenance. Shaping and Chaining allow children to learn simple tasks
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Problems associated with specific learning disorder
Low self-esteem, dropping out, demoralization, etc.
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Treatment of ASD
Behavioral interventions target: aberrant behaviors, social skills, language, daily living skills, and academics. ABA
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Difference between Conduct Disorder and ODD
Both hate authority, but Conduct Disorder is more severe and does illegal things, as well as have to be over 18 years old.
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Primary and secondary elimination disorders
- Primary: Never had control
- Secondary: Had control but no longer do
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Problems of aging
Suffer in: Social relationships, active lifestyle, diet, perceived good health, lack of cognitive deficits, continued independence
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What you need to do to age successfully
Perceived good health and an active lifestyle, continued independence in functioning, lack of disability, absence of cognitive impairment, and positive social relationships.
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Selective optimism and compensation
People age more successfully when they modify their goals and choices to make best use of their personality characteristics. These adjustments often require compensating for age-related limitations that reduce ones ability to reach previously valued goals.
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have a psychological disorder and many more have distress in their life but dont meet the DSM criteria.
20%
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Why older adults dont seek treatment
They dont seek treatment for cognitive deficits, shame (dont want to be called crazy), lack of support/resources, $/insurance, knowledge, logistics, old school mentality
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Depression in older adults (problem with diagnosing)
lots of death around them, depression looks different for different ages usually go to medical conditions first!
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Problem with diagnosing anxiety in older adults/ What does it look like in older adults
diagnostic criteria look the same for all ages the nature of worry is different for older adults (death, shame, embarrassment, life cycle changes, worrying the doctor, worrying about bothering other people, worrying about incontinence, other bodily changes). Sometimes they say my heart is racing so instead of seeing it as psychological, doctor thinks physical
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Treatment for depression in older adults:
Depression: medications (SSRI) (more sensitive to side effects), CBT, reminiscence therapy (have them think back to their past and how they solved problems then)
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Treatment for anxiety in older adults:
Anxiety: SSRI, not benzos (like normal anxiety meds), CBT (not as effective), best treatment is CBT + medication
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Differences of worries in older adults
death, shame, embarrassment, life cycle changes, worrying the doctor, worrying about bothering other people, worrying about incontinence, other bodily changes
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Substance disorders/use in older adults
theyre very heavily medicated, alcohol, prescription meds, tobacco,
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Central features of a neurocognitive disorder
cognitive decline from a previous level of performance in cognitive domains (attention, executive functioning, learning and memory, language, perceptual-motor, or social cognition). Not accompanied by changes in consciousness or alertness.
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Treatment of neurocognitive disorders
Treatment delays disease progression, prolongs independent functioning, improves quality of life, manages associated emotional and behavioral symptoms, and provides support and assistance to caregivers. Medications slow cognitive decline and improve global functioning.
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Treatment of delirium
Treatment is manipulating the environment to reduce sensory stimulation and provide reality training and it can be fixed. A low dose anti-psychotic can be used if needed.
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Concept of mind/body dualism
Mind-Body relationship: Bills --> produces anxiety --> nervous system reacts --> ulcers
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Direct and indirect impact of stress
- Indirect Response: External, eating, sleeping, (negative coping skills), venting is bad
- Direct Response: changes in nervous, immune systems
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Fight/Flight/Freeze (and examples)
Fight our body goes into overdrive (things that are not in our norm). Flight we run away. Freeze we do nothing.
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Differences/benefits between REM and Non-REM sleep
- REM dream, mental repair, you body is paralyzed
- Non-REM your body physically heals itself
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Good sleep habits
- reset your body to a normal body clock (Takes about six weeks to reset body clock)
- Set the same bed/wake up time
- Limit use of bedroom (not for playing/hanging out)
- Exit bedroom 15/20 minutes of waking
- Eliminate ALL naps
- Put your feet on your floor at the same time every morning.
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Primary and Secondary prevention for treatment of health:
- Primary preventive behaviors: sleep, eating, exercise, avoiding smoking and alcohol, sunscreen, seat belts - everything you do to increase healthy behaviors
- among healthy people.
- Secondary Prevention: promote healthy behaviors in those who are already on a bad path, or have a predisposition.
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Personal Health Inventory (what are you look at with it?)
Eating habits, sleeping habits, sunscreen, seat belts, smoking, drinking
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Contingency contracting (treatment):
Contingency contracting: if you do _______ then you can __________.
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Stimulus Control
Behavior Modification: remove stimulus to change behaviors.
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Tuskegee experiment
Syphilis didnt treat everyone
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Tarasoff
Therapist called the cops and the girl got killed because they confronted him not the girl. Duty to warn case
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3 things therapists have duty to warn about:
Self, others, serious property damage, and abuse
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