Relevance of Behavior Science to Medicine
Models of Health
Biomedical
biological
Biopsychosocial
biological
psychological
social
Importance of Psychological factors that influence :
Predispostion
personality
lifestyle
Onset
stress
lack of social support
Course & Outcome
accumulation of life events
the social support buffer
Introduction to behavioral science
Behavioral Science
how the person acts
how the person adjust
Levels of Explanation
Biological
Psychological
personality
Sociocultural
Theoretical Perspectives
Biological
Psychodynamic
Behavioral
Social learning
Cognitive
Debates
Nature Vs Nurture
Mind-Brain Vs Mind -Body
Relevant perspective to explain behavior
Appropriate method to be used
Developmental psychology
Challenges
Infancy & preschool
infants
Toddlers
Preschool
milestones
attachment styles
securely
insecurely
avoidant
ambivalent
disorganized
common disorders
Childhood
Motor
Social-Emotional
Self concept
Cognitive
Adolescence
Early
Middle
Late
parenting
authoritarian
authoritative
permissive
uninvolved
Adulthood
Early
Middle
Old age
Introduction
spheres
motor
social
emotional
verbal
theories
Erick Erikson
Jean Piageat
Margreat Mahler
Sigmud Freud
Chess & Thomas
Nature &nurture
Application to medicine
3-Relevance of learning theory in psychopathology
Habituation
sensitization
classical conditioning
operant conditioing
4-Psychological Assessment of patients with behavioral symptoms
clinical interview
mental status examination
psychological assessment
intelligence test
achievement test
personality
5-Psychological first Aid
RAPID PFA Johns Hopkins
rapport listening
assessment
priortization
intervention
deposition
WHO PFA model
perpare
look
listen
link
1-introduction to abnormal psychology
definition of abnormality DSM-5
Criteria in defining Abnormal behavior
cultural relativism
unusualness
discomfort
mental illness
maladaptiveness
2-Psychodynamic factors in behavior
THEORIES OF THE MIND
topographic theory
unconscious
preconscious
conscious
structural theory
Id
EGO
SUPEREGO
Defense mechanisms
common
denial
regression
somatization
intellectualization
Isolation of affect
Transference Reactions
postive
negative
counter-transference
Abnormal Psychology
5-Substance related disorder
abused substances
sedatives
central nervous system depressants
opioids
heroin,morphine
stimulants
increase alertness & cognitive functioning
hallucinogens
alteration of consciousness
6-schizophernia spectrum
psychotic disorder
loss contact with reality
features
delusions
persecutory
referential
grandiose
erotomanic
somatic
Hallucinations
auditory
visual
tactile
disorganized thinking
derailment
tangentiality
word salad
grossly disorganized
mutism & stupor
catatonic excitement
negative symptoms
diminished emotional expression
avolition
alogia
Anhedonia
Asociality
7-personality disorders
odd/eccentric
paranoid
schizoid
schizotypal
dramatic/erratic
borderline
histrionic
narcissistic
antisocial
anxious/fearful
avoidant
dependent
obsessive-compulsive
8-psychological therapies
psychanalysis and related therapies
techniques
free association
interpretation of dreams
analysis of transference
analysis of resistance
types
classic psychoanalysis
psychanalytically oriented psychotherapy
brief dynamic psychotherapy
interpersonal therapy
behavioral therapies
techniques
systemic desensitization
aversive conditioning
flooding &implosion
token economy
relaxation
biofeedback
cognitive behavioral therapy
others
group
family
couples
supportive
1-Disorders of Childhood and Adolescence
ADHD
inattention
hyperactivity
impulsivity
ASD
severe autism
Asperger's syndrome
SLD
Dyslexia
dyscalculia
IDD
subaverage intellectual functioning
Associated features
hypersensitivity
maladaptive behaviors
2-Mood disorders
Depression
major depressive disorder
atypical depression
pseudo-dementia
diurnal variation in symptoms
masked depression
seasonal affective disorder
Mania
Dysthymia
hypomania
Bipolar disorder
1
2
cyclothymic disorder
3-Disorders related to Anxiety symptoms
anxiety disorders
GAD
specific phobia
social phobia
panic disorder
agoraphobia
separation Anxiety Disorder
selective Mutism
Obsessive compulsive and related disorders
obsessive compulsive disorder
body dysmorphic disorder
hoarding disorder
hair pulling disorder
skin picking disorder
Trauma and stressor related disorders
reactive attachment disorder
posttraumatic stress disorder
acute stress disorder
adjustment disoreder
4-Eating disorder
Anorexia nervosa
Bulimia nervosa
Obesity
Counselling
1-introduction to basic counselling skills
Qualities of counsellor
keeping confidentiality
empathy
unconditional positive grades
being genuine
being non-judgmental
patience & full attendance
counselling skills
active listening
accept
listen
keep silent into the client
continually involved
questioning
open ended
probing
clarification
leading
using silence
reflecting
paraphrasing
summarizing
counselling stages
building a rapport
problem assessment
setting treatment plan
termination & follow up
3-Mental health selfcare
what is mental health ?
internal well-being
feeling in line with ones beliefs & values
peace with oneself
positive & optimistic
illness
spectrum of problems that interfere with individuals thoughts
factors affect mental health
biological
life experience
family history
lifestyle
signs of mental health problem
low energy
numb
helpless
withdrawing from people or activities you enjoy
what is selfcare?
greater capacity to manage stress
increased resilience
reduced symptoms of mental health problems
maintain positive connection with others
selfcare strategies
physically
emotionally
mentally
spiritually
socially
professionally
barriers to selfcare
no motivation
competitive priorities
lack of awareness of your own needs
putting others need first
2-Doctor-patient communication
importance
profound negative &positive implications on clinical care
history taking : age specific characteristics
Adult
open-ended
Adolescence
non judgmental
children
close-ended
negative factors in history taking
defense mechanism of illness
six step protocol for delivering bad news
set up
perception
invitation
knowledge
emotions
strategize & summarize
Health
1-stress & illness
what is stress ?
biological & psychological response experienced on encountering a threat that we feel we do not have the resources to deal with
distress
negative stress
eustress
positive
the stress response
general adaptation response
alarm
resistance
exhaustion
stress & illness
heart disease & stress
psychoneuroimmunology
adverse reactions-psychological
anxiety
anger & aggression
apathy & depression
cognitive impairment
coping with stress
biological
immunity
diet
sleep
sociocultural
family
friends
psychological
self defenses
locus of control
self complexity
self talk
optimism
2-Encouraging health related behaviors
practicing & changing health behaviors
health behaviors
to enhance their health
health habit
without awareness
instability of health behaviors
intervening with children & adolescents
impact of early socialization
teachable moment
changing health habits in adults
health behavior education appeals
fear appeals
message framing
health belief model
factors
personal health threat
person believes that particular health practice will
be effective in reducing threat
strategies
self efficacy
self monitoring
modeling
self control
self reinforcement
facilitating behavior change
prochaska's model
1-pre-contemplation
2-contemplation
3-preparation
4-action
5-maintance
6-termination
adherence
factors increase adherence
feeling ill
limitation of usual activities
acute illness
peer support
simple treatment schedule
factors decrease adherence
chronic illness
anger at the physician
complex treatment
little disruption of activities
3-understanding pain; managing chronic & terminal illness
pain?
unpleasant sensory & emotional experience associated with actual or potential tissue damage or described in terms of such damage
medical consequences of pain
lead individual to seek treatment
perception of pain
psychological significance of pain
depression & anxiety worsen the experience of pain
kinds of pain
acute
chronic
pain control techniques
pharmacological control
surgical control
sensory control
biofeedback
relaxation techniques
distraction
guided imagery
understanding death
children's understanding
up to age 5
great sleep
age 5 to 9
death is final
9 & above
death is universal
reactions to young adult
shock ,outrage ,acute sense of injustice
death in middle age
realistic & fearful
death in old age
easier
more prepared