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Subdiscipline of psychology that addresses issues of aging: physical changes, lifestyle shifts, and role changes and psychological problems unique to older people.
Geropsychology
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___ of older adults age successfully
1/3
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What does it take to be successful at aging?
(5)
- Good health and active life style
- Independence in functioning
- Lack of disability
- Absence of cognitive impairment
- Positive social relationships
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Depression and Anxiety later in life are most associated with
(3)
- Death of loved one
- Changes in job or financial status
- Deterioration in physical abilities
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Treatment of Depression in older patients
(4)
- Medication
- Cognitive-Behavioral Therapy
- Reminiscence Therapy
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__% of older depressed patients improve once on medication
60%
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Alteration in consciousness that typically occurs in the context of a medical illness or after ingesting a substance
Delirium
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2 Types of Altered States of Consciousness with Delirium
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Altered State of Consciousness type that produces decreased wakefulness and stupor
Hypoactive
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Altered State of Consciousness type that produces hyperarousal
Hyperactive
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Who is more prone to delirium? Men or Women?
Men
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Primarily caused by serious systematic medical illness (AIDS, congestive heart failure, infection, or toxic effects of medication)
Etiology of Delirium
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Suicide is ___ as high in people over 65 than that of younger adults
Twice as high
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Multiple cognitive disabilities that take away the ability to function independently and causes significant emotional problems
Neurocognitive Disorder
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In order to make a diagnosis for a Neurocognitive Disorder what is required?
(3)
- Extensive interviews
- History Taking
- Testing
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3 Types of Mild or Major Neurocognitive Disorders
- Alzheimer’s Disease
- Vascular Neurocognitive Disorder
- Substance/Medication Induce Neurocognitive Disorder
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Risk factors for Neurocognitive Disorder
(3)
- Increasing age
- Family history of neurocognitive disorder
- APOE gene
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Protective Factors for Neurocognitive Disorder
(6)
- Dietary factors
- Moderate alcohol use
- Mental activities
- NSAIDs
- Advanced education
- Bilingualism
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Uses principles and methods from psychology to understand how attitudes and beahviors influence health and illness
Health Psychology
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Studies how people develop positive and negative health habits and how stress and health are related
Health Psychology
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Belief that the mind and body function independently
Mind-Body Dualism
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Who believed in Mind-Body Dualism?
17th Century French Philosopher Rene Descartes
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Difference between past and present view on health?
- Past – only biological
- Present – Psychology now plays a role
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What are the major contributors to physical health?
(4)
- Health Habits
- Attitudes
- Personality
- Social Factors such as stress and social support
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Negative emotional experience accompanied by biochemical, physiological, cognitive, and behavioral responses aimed at changing or adjusting to the stressor
Stress
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Any event that produces tension or other negative emotion such as fear
Stressor
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Forms of Stress
(4)
- Acute
- Chronic
- Daily Hassles
- Major Life Events
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Assessment of whether a person has the resources or coping skills to meet the demands of a situation
Appraisal Process
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Appraisal which questions how much of a harm or threat a situation is
Primary Appraisal
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Appraisal which questions what the individual can do to cope with the situation
Secondary Appraisal
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What situation has the highest stress level (100 points)?
Death of a spouse
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The stress hormone
Cortisol
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Releases cortisol
Hypothalamic-Pituitary Adrenocortical Axis
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Poor health behaviors that result from stress and have a negative affect on health such as smoking
Indirect Impact of Stress
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When cortisol is released, the body has suppressed immune functioning, and impairs memory/concentration
Direct Impact of Stress
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One of the most common complaints during childhood with only 10% - 15% having a physical caused identified
Recurrent Abdominal Pain
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Until the 1960’s ______ was the typical treatment for severely mentally ill patients
Hospital Confinement
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State hospitals offered care to the mentally ill since
1800-1955
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State hospitals had over ____ beds in their psychiatric institutions between 1800-1955
559,000
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Present day (2000) offers _____ psychiatric beds in state hospitals
59,403
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What was the reason for the failure of deinstitutionalization?
Lack of follow-up care
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____ to ___ of homeless individuals have a psychological disorder
- 32.7% to 73%
- People with ____ are of the greatest risk of homelessness after leaving an institution
- Schizophrenia
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A state-initiated procedure that forces involuntary treatment on people who are judged to have a mental illness, who present danger to themselves or others
Civil Commitment
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A court-order that direct a person to comply with a specified, individualized outpatient treatment plan
Outpatient Commitment
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Legal decision that describes people who commit a crime but who are prevented by a psychological disorder from understanding the seriousness and illegality of their actions
Not Guilty by Reason of Insanity
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Not Guilty by Reason of Insanity is only used ___ % of the time in felony cases
1%
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Not Guilty by Reason of Insanity is only successful __ to ___% of the time
15 to 25%
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When an accused person is so mentally disordered that he or she cannot assist in his or her own defense
Incompetent to Stand Trial
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These 3 words describe environments that provide protection against unwilling disclosure of patient information
Privacy, Confidentiality, and Privilege
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Agreement between the therapist and patient that private information revealed during therapy will not be discussed with others
Confidentiality
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Legal term that prevents a therapist from revealing confidential information during legal proceeding and extends to therapists who are licensed to practice therapy
Privilege
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Therapist’s duty to use reasonable care to protect third parties from dangers posed by patients
Duty to Warn
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Established the ethical mandate of Duty to Warn
Tarasoff Decision
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Is based on the belief that mental health clinicians have the ability to predict human behavior
Duty to Warn
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Psychologists’ ability to accurately predict violence in a given a patient is a little better than ___%
50%
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