Theme 17. Psychopathies and pathologic development of a personality. Mental retardation (oligophrenia) icon

Theme 17. Psychopathies and pathologic development of a personality. Mental retardation (oligophrenia)




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Theme 17. Psychopathies and pathologic development of a personality. Mental retardation (oligophrenia).





  1. PATHOLOGIC DEVELOPMENT OF A PERSONALITY. PSYCHOPATHIES.

      1. Development and features of character.

      2. Classification of types of personality.

      3. Personality Disorder.

      4. Aetiology.

      5. Classification Of Personality Disorders.

      6. Assessment.

      7. The Management of Personality Disorder.

      8. The Prognosis of Personality Disorders.

  2. MENTAL RETARDATION.

      1. Definition and general characteristic of mental retardation.

      2. Etiology and pathogenesis.

      3. Classification of mental retardation.

        1. based on the etiological principle.

        2. based on the clinical manifestations..

      4. Clinical forms of oligophrenia.

        1. Debility.

        2. Imbecility.

        3. Idiocy.

      5. Differentiated forms of oligophrenia.

      6. Age-specific peculiarities.

      7. Borderline forms of intellectual deficiency (a delayed rate of psychic development).

      8. The treatment of patients with oligophrenia.

      9. Rehabilitative measures

Tests


1. Which statement about oligophrenia is correct?

a) acquired after 3 years old

b) polyetiologic disease

c) progressive disease

d) manifesting itself by partial psychic underdevelopment

e) all listed


2. The morbidity rate of clinical forms of oligophrenia among people with a mental deficiency is as follows:

a) 75 % for idiocy, 20 % for imbecility and 5 % for debility

b) 75 % for idiocy, 20 % for debility and 5 for imbecility %

c) 75 % for debility, 20 % for imbecility and 5 % for idiocy

d) all listed are correct for different regions of world

e) nothing listed


3. Which of the listed terms describes the state, when the creative thinking is absent at all, the speech is poor, primitive and stereotyped?

a) debility

b) imbecility

c) idiocy

d) Down's syndrome

e) psychophysical infantilism


4. Which of the listed terms describes the state, when the emotional-volitional and personality immaturity are harmoniously combined with physical underdevelopment?

a) debility

b) imbecility

c) idiocy

d) Down's syndrome

e) psychophysical infantilism


5. Which drug is used most often in the treatment of oligophrenia?

a) Aminazine

b) Amitriptyline

c) Nootropil

d) Phenazepam

e) all listed


6. Sociocultural factors are most important in aetiology and pathogenesis of:

a) debility

b) imbecility

c) idiocy

d) Down's syndrome

e) borderline mental deficiency


7. When is oligophrenia most often revealed?

a) at the first year of life

b) at the age of 3 years old

c) at the age of 7-8 years old

d) at the age of 25-30 years old

e) at the age of 60-80 years old


8. Classification of oligophrenia based on the etiological principle includes all listed, except:

a) Alzheimer’s disease

b) Immunological incompatibility of tissues of the mother and foetus

c) Influence of negative social-cultural factors

d) Hereditary predisposed metabolic disturbances and chromosomal diseases

e) Irradiation of pregnant women


9. Which of the listed terms describes the state, when the speech is poor and inarticulate, the vocabulary stock is limited by 20-30 household words?

a) debility

b) imbecility

c) idiocy

d) Down's syndrome

e) psychophysical infantilism


10. Which of the listed disorders is characterized by a small nose with a wide flattened bridge, an oblique shape of the eyes, small, deformed and low helices, a high "Gothic" palate, a "geographic" tongue?

a) debility

b) imbecility

c) idiocy

d) Down's syndrome

e) psychophysical infantilism


11. Care and guardianship are most important in case of:

a) debility

b) imbecility

c) idiocy

d) borderline mental deficiency

e) nothing listed


12. Which disorder is induced by a pathogenic influence during embryo- and foetogenesis?

a) oligophrenia caused by erythroblastosis faetalis

b) Down's syndrome

c) Klinfelter's syndrome

d) Turner's syndrome

e) enzymopathies


13. How is the predominance of some character trait of personality called?

a) harmonious personality

b) personality disorder

c) accen­tuation

d) psychosis

e) mental retardation


14. According to the Russian psychiatrists P. B. Gannushkin and O. V. Kerbikov there are all listed criteria of personality disorder, except:

a) totality

b) stability

c) social maladjustment

d) progredient course

e) nothing listed


15. Which type of personality is described as: persistently low mood, a gloomy view of life, anticipating the worst and showing little capacity for enjoyment?

a) schizoid

b) dependant

c) depressive

d) histrionic

e) obsessional


16. Which type of personality is described as: compliant, falling in passively with the wishes of other people, shows little initiative, and often persuades others to help them?

a) schizoid

b) dependant

c) depressive

d) histrionic

e) obsessional


17.Which type of personality is described as dependable, has high standards, observes social rules, and is determined, persistent, and reliable, obstinate, inflexible, easily lost in unimportant detail, and rigid in his or her opinions?

a) schizoid

b) dependant

c) depressive

d) histrionic

e) obsessional


18. Which type of personality disorders has such features as suspicious and sensitive, touchy, irritable, argumentative, stubborn and inclined to develop suspicious ideas that border on delusions of reference?

a) paranoid

b) anankastic

c) schizoid

d) narcissistic (borderline?)

e) dependent


19. Which term describes the predominance of some character traits of personality to such a degree that cause dif­ficulties to the person or to other people?

a) harmonious personality

b) personality disorder

c) accen­tuation

d) psychosis

e) mental retardation


20. Which type of personality is described as: introspective, self-suf­ficient, and emotionally cold, engaged in fantasy and seems de­tached from ordinary social relationships?

a) schizoid

b) dependant

c) depressive

d) histrionic

e) obsessional


21. Which type of personality is described as: lively and sociable, has a tendency to be self-centred and to have short-lived enthusi­asms in order to dramatise their lives and play to the audience?

a) schizoid

b) dependant

c) depressive

d) histrionic

e) obsessional


22. Which type of personality is described as: changes from periods of high spirits, self-confidence, and abundant energy to periods of low spirits, self-doubt, and lack of energy?

a) schizoid

b) dependant

c) cyclothymic

d) histrionic

e) obsessional


23. Which type of personality disorders has such features as inhibiting perfectionism and immersion in detail that makes ordinary work a burden?


a) paranoid

b) anankastic

c) schizoid

d) narcissistic (borderline?)

e) dependent


24. Which type of personality disorders has such features as selfish preoccupation, always seems to be playing a part and incapable of being themselves?

a) avoidant

b) dissocial (antisocial)

c) impulsive

d) histrionic

e) passive-aggressive


Clinical task 1.

Patient V., male, 13 years old, is short, has dysplastic body frame. The occipital part of his head is flat, eye slits are narrow and slanted. Mimic movements are poor, the mouth half open. Tries to keep near the nurse. Is capable of doing simple errands (sweep and wash the floor, make beds, bring meals to other patients). Speech and language skills are underdeveloped, uses phrases consisting of 2 or 3 words, articulation is disturbed. Can't read or write. Is incapable of acquiring academic skills.


1. What symptoms does the patient have?

2. What psychopathological syndromes does the patient have?

3. What disease can you think of?

4. Prescribe treatment to the patient.


Clinical task 2.

Patient B., male, 18 years old, was sent to the psychiatric hospital for military psychiatric examination. The level of academic achievements is extremely low (doesn't know any names of countries, their capitals, is ignorant concerning the basic information about his own country). Grew up having no contacts with peers, spent almost all his childhood in an isolated house with his father, a forest guard. Attended school very irregularly, formally had six classes of education. At the psychological testing shows good abilities in the tasks on analysis and synthesis, and abstract thinking. Shows interest towards magazines and books at the department library.

1. What symptoms does the patient have?

2. What psychopathological syndromes does the patient have?

3. What disease can you think of?


Clinical tasks 3.

A 57-year-old man living in a condominium complex constantly accuses his neighbors of plotting to avoid payment of their share of maintenance. He writes angry letters to other owners and has initiated several lawsuits. He lives alone and does not socialize.

1. Identify personality disorder.

2. List the features of the disorder


Clinical tasks 4.

A 24-year-old man lives alone and works nights as a security guard. He ignores invitations from coworkers to socialize and has no outside interests. He has no history of disorganized behavior.

1. Identify personality disorder.

2. List the features of the disorder


Clinical tasks 5.

A 30-year-old woman presents to the doctor's office dressed in a sexually seductive manner and insists that the doctor comment on her appearance. When the doctor refuses to do so, she becomes upset.

1. Identify personality disorder.

2. List the features of the disorder


Clinical tasks 6.

A 22-year-old man was recently arrested after he set his mother's house on fire. He has had numerous problems with the law, which started at an early age when he was sent to a juvenile detention center for his behavior at both home and school. He lacks remorse for setting the fire and expresses a desire that his mother would have died in the fire.

1. Identify personality disorder.

2. List the features of the disorder


List of recommended literature

Basic literature.

  1. Concise Oxford Textbook of Psychiatry. M. Gelder, D. Gath, R.Mayou. – Oxford; New York; Tokyo; Oxford University Press, 2007. – 953 p.

  2. Modern Synopsis of Psychiatry. A.M. Freedman, H.I. Kaplan, B.J. Sadock. – USA, 1982. – 433 p.

  3. Psychiatric Dictionary / 5th ed. R.J. Campbell. – Oxford; New York; Oxford University Press, – 1981. – 693 p.

  4. Psychopatology and addictive Disorders / Ed. By Meyer. - New York; London, 1986. – 283 p.

  5. Psychiatry: course of lecture /Ed.by V.S. Bitensky. – Odessa, 2005. – 336 p.

  6. Zimbardo Ph.G. Psychology and Life. - USA, 19991. – 189 p.


Additional literature.


  1. Brundtland G.H. Mental health in the 21st century // Bulletin of the World Helth Organization. – 2000. - №87. – Р. 411.

  2. Desjarlais R., Eisenberg L., Good B. et al. World Mental Health: Problems and Priorities in Low-Income Countries. – New York: Oxford University Press, 1995. – 144 p.

  3. Marsella A., Kleinman A., Good B. Cross-cultural studies of depressive disorders. An overview. Culture and depression. – Berkley: University of California Press, 1985. – 213 p.

  4. Mulrow C.D., Williams J.W. Jr., Trivedi M., et al. Treatment of depression: newer pharmacotherapies. Rockville, MD: Agency for Health Care Policy and Research, 1999. – 253 р.

  5. Murray C.J.L., Lopez A.D. The global burden of disease: a comprehensive assessment of mortality and disability from disease, injuries and risk factors in 1990 and projected to 2020. Cambridge, MA: Harvard University Press, 1996. – 68 p.

  6. Kielholz P. Masked Depression. — Berne, 1973. – 97 p.

  7. Lopez-Ibor J. J. The Present Status of Psychotropic Drugs / Ed. by A. Cerletti, F. J. Bove. - New York, 1999. - 519 p

  8. Preskorn, S.H. Outpatient management of depression: A guide for the Primary-care practitioner/ S.H. Preskorn. - Wichita; Kansas: Professional Communications,Inc., 1994. - 147 p.

  9. Ustun T.B., Sartorius N. Mental Illness in General Health Care. An International Study. – Chichester: John Willey @ Sons Ltd, 1995. – 336 p.

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