PSY338Q3
Terms
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T/F
IQ an achievement are identical. - False
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T/F
Children with LD's have below average intelligence in most cases. -
False
Children with LD's have average to above average intelligence but something hinders them. - List 5 facts about ADHD
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Primary deficit is that can't focus and follow directions without getting distracted.
Display age inappropriate symptoms and cannot control behavior according to the situation.
Usually diagnosed by age 7
Must display symptons across multiple settings. - What are some associated problems with ADHD?
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Executive fns:
cognitive processes - memory, planning, organization.
language processes - complete sentences, pronouns.
motor processes - follow through with a crazy action without thinking about consequences.
emotion processes - easily frustrated - Name some factors that influence attention
- Fagigue, complexity, being confined, level of stimulation, reward immediaty and frequency, adult presence
- What are some causes associated with ADHD
- Genetics, birth complications, malnutrition, smoke and alcohol, PB
- Describe the Coercive Process
- A difficult child gets negative comments from parents. Positive behaviors get no mention. Kid continues neg because that gets attention. Bad things get reinforced. Parent backs off and child does not have to do HW. Both are negatively reinforced.
- Explain how parent and child get negatively reinforced in Coercive Process
- Child because he does not have to do HW when parent backs of. Parent because does not have to deal with child. Somethin aversive was taken away.
- Which treatment is most effective for ADHD
- Combination of medication and behavioral instruction
- What type of behavioral tasks help in ADHD?
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Simplify Task
Give rewards right away
Build interest
Use incentives
Flexible and comfortable - What other 2 maladies are associated with ADHD?
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Depression and Suicide
Also low self esteem
80% qualify for learning disorder - What symptoms are necessary to be diagnosed with ADHD according to DSM-IV?
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Appear before age 7
Occur > than in same age child
Last 6 months
Occur across settings
Hinder performance - What are the 2 lists of symptoms for ADHD?
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Inattention (can't keep consistent effort.
Poor concentration
Disorganization
Hyperactive
Impulsive - What complaints are common from parents of ADHD Children?
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Won't listen or follow instructions.
Doesn't finish and is easily distracted
Interrupts
Active but accomplishes little.
Can't follow social rules and leads to > conflicts. -
T/F
Most children with ADHD have normal to above average intelligence. -
True
The difficulty is in applying that intelligence to everyday situations. - Which Executive Functions are problems for ADHD's?
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Cognitive Processes - Plan, think, organize.
Language
Motor - control actions
Emotions - In addition to the primary problems of ADHD, what other problems do they have?
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Cognitive Deficits
Language Deficits
Social Problems
Many children with ADHD have a LD typically in spelling, reading, or match - What disorders are comorbid with ADHD?
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ODD and CD
Anxiety and Depression -
T/F
With respect to ADHD, boys show more hyperactivity, agression, and antisocial behavior whereas girls show inattention, anxiety, depression, stress, and lower IQ scores. - True
- T/FMost infants with a difficult temperament develoop ADHD
- False
- What is the primary approach to ADHD?
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Stimulant Medication
Parent Management Training
Educational Intervention
Treatments must be in school and at home - What is the coercive process and what is it based on?
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Parent drops off demands when child gets aggressive.
Works through POSITIVE Reinforcement. - How must punishment be delivered for it to be effective?
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Must be across settings
Must be across people delivering it
Must be consistent. Inconsistent punishment is worse than no punishment. - List 5 facts about Conduct Disorder
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Show lack of empathy and remorse.
Are impulsive and insensitive
Likely to go on to Antisocial Personality Dx
60% CD's have ADHD
Depression and BP and alcohol abuse > - What goes on in Home/Community Based Therapy?
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Based in town where child lives
Staff is married couple trained in behavior analysis
Teach academic skills and living skills. - How does Treatment work in Home/Community Based Therapy?
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Step 1
Earn points for good behavior
Lose points for bad behavior
Step 2
Merit System - if behavior is good, get all privileges.
Homeward Bound - Parents are taught skills and how to negotiate with each other.
56% Controls get arrested again.
19% from here get arrested again. Maintain over time.