NRNP 6645 QUESTIONS AND ANSWERS LATEST
UPDATED VERSION, ALREADY GRADED A+
Conduct Disorder
(ODD and CD associated with childhood) (back talking at school, fighting)
Pyromania
fire
Recurrent, deliberate and purposeful setting of fires
Tension or affective arousal before setting the fires
Fascination with, interest in, curiosity about, or attraction to fire and the activities/ equipment
associated with fire fighting
Pleasure, gratification, or relief when setting fires or witnessing or participating in the aftermath
Considerable advanced preparations before setting the fire
Differs from arson in that arson is done for financial gain, revenge, or other reasons
In men more than women; usu. Mildly retarded, increase alcohol use and antisocial traits, enuresis
common; association to cruelty to animals
Associated with attention deficit/hyperactivity disorder or adjustment disorder
Kleptomania
stealing
Recurrent failure to resist impulses to steal objects not needed for personal use or monetary value
Objects are given away,returned,kept or hidden
Usually have money to pay for the object
Characterized by mounting tension before the act followed by gratification and lessening of tension with
or without guilt, remorse, or depression after the act
Stealing is not planned and does not involve others
Do not consider arrest although arrests cause pain and humiliation
May feel guilt and anxiety after but not anger or vengeance
The act of stealing is the goal not the object stolen
Disruptive, Impulse-Control, and Conduct Disorder is characterized by
Inability to resist an intense impulse, drive, or temptation to perform a particular act that is obviously
harmful to self, or others, or both
Mounting tension and arousal, sometimes with conscious anticipatory pleasure
Immediate gratification and relief after the action
May feel remorse, guilt, self-reproach, dread; may be due to obscure unconscious conflicts or impact on
others,
may delay treatment because of shame
Etiology
, Psychodynamic, psychosocial and biological factors contribute
Primary causal factor unknown
Common underlying neurological mechanisms
Fatigue, incessant stimulation and psychic trauma lower resistance to control impulses
Do not resist drives to enticements or to do
Unable to resist impulses harm to self or others
Unable to resist impulses
-May or may not consciously try to do so
-May or may not plan their behaviors
-Sense of increasing tension or arousal before the act
-Sense of pleasure and satisfaction after
-May be feelings of guilt or remorse
Psychodynamic
-An impulse is a disposition to act to decrease heightened tension caused by the buildup of instinctual
drives or by diminished ego defenses against the drives.
-Common for Impulse disorders are an attempt to bypass the experience of disabling symptoms or
painful affects by acting on the environment
August Aichhorn
-Weak superego and weak ego structures associated with psychic trauma produced by childhood
deprivation
Otto Fenichel
-Linked to an attempt to master anxiety, guilt, depression and other painful affects by means of action
Donald Winnicott
-Way for children to recapture a primitive maternal relationship
Heinz Kohut
-Related gambling, kleptomania paraphiliac behaviors to an incomplete sense of self
lPsychosocial
-Linked to early life events
-Improper models for identification (parents)
-Exposure to violence, alcohol abuse, promiscuity, antisocial behavior
biological factors
-Possible organic factors - limbic system
-Link between low cerebrospinal fluid levels of 5-hydroxyindoleacetic acid and impulsive aggression
-Testosterone associated with violent and aggressive behavior
-Link with epilepsy and head trauma (TBI)
-Serotonin neurotransmitter increased and CSF & 5-HIAA decreased in suicide victims
UPDATED VERSION, ALREADY GRADED A+
Conduct Disorder
(ODD and CD associated with childhood) (back talking at school, fighting)
Pyromania
fire
Recurrent, deliberate and purposeful setting of fires
Tension or affective arousal before setting the fires
Fascination with, interest in, curiosity about, or attraction to fire and the activities/ equipment
associated with fire fighting
Pleasure, gratification, or relief when setting fires or witnessing or participating in the aftermath
Considerable advanced preparations before setting the fire
Differs from arson in that arson is done for financial gain, revenge, or other reasons
In men more than women; usu. Mildly retarded, increase alcohol use and antisocial traits, enuresis
common; association to cruelty to animals
Associated with attention deficit/hyperactivity disorder or adjustment disorder
Kleptomania
stealing
Recurrent failure to resist impulses to steal objects not needed for personal use or monetary value
Objects are given away,returned,kept or hidden
Usually have money to pay for the object
Characterized by mounting tension before the act followed by gratification and lessening of tension with
or without guilt, remorse, or depression after the act
Stealing is not planned and does not involve others
Do not consider arrest although arrests cause pain and humiliation
May feel guilt and anxiety after but not anger or vengeance
The act of stealing is the goal not the object stolen
Disruptive, Impulse-Control, and Conduct Disorder is characterized by
Inability to resist an intense impulse, drive, or temptation to perform a particular act that is obviously
harmful to self, or others, or both
Mounting tension and arousal, sometimes with conscious anticipatory pleasure
Immediate gratification and relief after the action
May feel remorse, guilt, self-reproach, dread; may be due to obscure unconscious conflicts or impact on
others,
may delay treatment because of shame
Etiology
, Psychodynamic, psychosocial and biological factors contribute
Primary causal factor unknown
Common underlying neurological mechanisms
Fatigue, incessant stimulation and psychic trauma lower resistance to control impulses
Do not resist drives to enticements or to do
Unable to resist impulses harm to self or others
Unable to resist impulses
-May or may not consciously try to do so
-May or may not plan their behaviors
-Sense of increasing tension or arousal before the act
-Sense of pleasure and satisfaction after
-May be feelings of guilt or remorse
Psychodynamic
-An impulse is a disposition to act to decrease heightened tension caused by the buildup of instinctual
drives or by diminished ego defenses against the drives.
-Common for Impulse disorders are an attempt to bypass the experience of disabling symptoms or
painful affects by acting on the environment
August Aichhorn
-Weak superego and weak ego structures associated with psychic trauma produced by childhood
deprivation
Otto Fenichel
-Linked to an attempt to master anxiety, guilt, depression and other painful affects by means of action
Donald Winnicott
-Way for children to recapture a primitive maternal relationship
Heinz Kohut
-Related gambling, kleptomania paraphiliac behaviors to an incomplete sense of self
lPsychosocial
-Linked to early life events
-Improper models for identification (parents)
-Exposure to violence, alcohol abuse, promiscuity, antisocial behavior
biological factors
-Possible organic factors - limbic system
-Link between low cerebrospinal fluid levels of 5-hydroxyindoleacetic acid and impulsive aggression
-Testosterone associated with violent and aggressive behavior
-Link with epilepsy and head trauma (TBI)
-Serotonin neurotransmitter increased and CSF & 5-HIAA decreased in suicide victims
