General PrinciplesBehavioral Science
Learing and Behavior Therapy
Candoning. 4 Dienst Somaotorm Dsaders om FecicausDsrdess
Types Renlocenen. A and Malngeng 8
Rercermert Schedules 4 ermal Disord. 2
Leaming Based Terie, 5 Drum Versus Denertn %
Child Development Carman Abramalies on Nerleg Barintion 2s
infer Deopren. 5 Sexual Disorders
Figues Copied and Arpoxnat aes 5 Perlis 26
ey Deebrentl ems 6 ender enya Prefered Sena Pare of Blog le 26
Che's Concepon fess and Death 7 Sens Dore oe 2»
Cid Deveopet Milsons ooo ccc 7=8—Physiden-Patient Relationships
‘Tyescf Abuse and Inport ses, a Gove ies, 2-28
Sleep: Physiology and Disorders ical and Lega sues
Slee Psilny 9 Gera es. nes
Changes Dg he Fist Tee Hous of Sep. 9 Biostatistics
Stes Disrdors wo Incidence and Preece 2
ght eos Vsus Nighi D “ypesof Marat aes 2
Deferse Mechanisms Screening Resisina 22 table 2
Commo FreuanDelense Mechanisms " Healy and Diseased Popdaions Monga Sceerng Dimension... 32
Substance Abuse “Wpesof Basin Reseach and mporat Assciaions 3
cota a 0 Diferertixng Osenatona utes, 8
Drugs Abuse tel Making Decsons Using Vb. 3B
Psychopathology Conenc ites 34
Five Majo grt us, 15 Tes Soles in Stasis a
ent Retardation 6 “Wpesol Soe and Bas Sats Tess a
Fervsve Deveopmera sade: tim 5
Atenton DefictyperadiyDsxde @DMD) 16
Sehinepuei 6
Anpythsc Medco An Oven . v
Side ect ofp Anipsyehoe Meats. v
raya Side is fa
Aypolaniorat ta
aod Dasrdes Oven ta
Mood Disorder Subtypes 8
onal Ge Versus Depression n
Anidepressns 20
Ecracave Therap (ECT) 20
tithiam »
aig Ds, foe 2a
Anwey Disorder. 2
Sedatveyprasc Orgs, n
Inporam Bzoinepines. 2
Semaafom Disncers aLEARNING AND BEHAVIOR THERAPY
Classic (Respondent or Pavlovian) Conditioning
ues: vcr 1. Learning occurs when an eld response
Urconionad Siren > UnconoedRatonsa ‘occurs to a new siimulus. example: A
(sgh ol ace (asian)
dog salivates to a bell, when proviousiy
on salvation occurred only in response to
Condsoned Respenoe mest.
cs (eaivaen
Condcnes Stmuie
2, Key stimulus (belt) must occur before
(oon the response,
Operant or instrumental Conditioning
a 4. Learning occurs when a new response
‘cours f0 an old slimulus. Example: In a
‘Skinner box, the rat now presses the bar
™ ‘no 10 oblain reinforcement.
2, Key stimulus reinforcement must occur
Aelnforeament after the response,
Mhio--soe ah ieee
| wa [Rane
Bohavinr(R}. | Stops Punishment Extinction
Increases | Past rinorcoment Negative reinforcement
UST) oh Ao mei a hoy
Schedule Constant Fixed interval (FI) Fixed ratla (FR)
hanging ‘Variable interval (V1) Variable ratio (VR)
kau,
4 medical‘Systematic desensitization
(Often used to treat anxiety and phobias
Step 1: hierarchy of stimuli (least to most feared)
Stop 2: technique of muscle relaxation taught
Stop 8: pationt relaxes in presence of each stimulus on the hierarchy
‘Works by replacing anxiety wth relaxation, an incompatible response
Exposure
(also flooding or implosion)
‘Simple phobias treated by forced exposure to the feared object
Exposuro maintained untl fear response is entinguished
‘Avorsive conditioning
Properties ofthe original stimulus are changed to produce an aversive rosponso
Can help reduce deviant behaviors
Shaping [Achieves farget behavior by reinforcing successive approximations ofthe desired response
Reinforcement gradually modified to move behaviors from general responses to specific
responses desired
Extinction Discontinuing the reinfercement maintaining an undesired behavior
"Time out” with children oor test anxiety
Stimulus control
‘Sometimes sfimul inadvertent acquire control aver behavier, when this is true, removal of
that stimulus can extinguish the response
Example: an insomniac only permitted in bed when he/she isso tired that sleep comes
‘almost al once
Biofoodback
Using extemal feedback to modify internal ;iysilogic states; often uses electronic devices to
present physiologic information, e.g, heart manitor to show heart rate
‘Works by means of trialand-error learning and requires repoated practice to be effective
Fading
{Gradually removing the reinforcement while: 1) witheut the subject discerning the diference
and 2) maintaining the desired response
Example: gradually replacing postoperative painkiller witha placebo
arian
medical 5CHILD DEVELOPMENT
NZ a Rela
Evidenced at | + Reaching and grasping behavior
birth + Abiity to imitate facial expressions
+ Ablity o synehvoniza lim’ movements with speach of athers
+ Attachment behaviors, such as crying and ellaging
Newborn + Profers:
characteristics | ~ Large. bright objects with lots of contrast
= Moving objects:
= Curves versus fines
~ Complex versus simple designs
= Facial stimuh (gits more than boys)
+ Can discriminate between ianguage and nonlanguage stim
+ AV week old, the infant responds differently tothe smell of mother compared with fthor
‘Smiling + The smile develops from an innate reflex present at birth (endogenous smile)
+ Shows exogenous emiling intesponse to a face at 8 weeks
* A praferential social sil, e.g. (0 the mother's rather than anothers face, appears about 12 to 16 weeks
bate ete di NPE aeons)
See Jala ciauls niente
Brain-growth spurt | + “Criical peri’ of groal vulnerabily to environmental influence
+ Ertends from last timester of pregnancy through first 14 postnatal months
+ Size of catica cols and complexity of cellinterconnections undergo their most rapid increase
+ Distress in the presence of unfamilar people
+ Appears at § months, reaches peak al 8 months, then disappears after 12 months
Disiress of infant after separation rom caretaker
‘Appears at 8 to 12 months: begins to disappear at 20 to 24 months
‘Separation anxlety disorder (school phobia) is failure to resolve separation anxioty
‘Treatment focuses on child's interaction with perents, not on activities in schoolAiles LUA) (os aren tela Mi I-Sy 1).
‘Separation trom parents, punishment, mutation (Freud's castration anxity)
mor lkely fo fear:
‘When they become ‘May interpret ness or trestment as punishment
(ten have all sets of misconceptions about what is wrong with therm
Uni ago S: Children usualy have no conception af death as an ineversile process
Only atter age 8 or (Chis realy understands that death i universl, Mevitabla, and inaversibi
(oie yeFavstel a Ma Wieeiceh is}
Physical and Motor Cognitive, Language
Development Social Bevélopment Development Development
+ Puts evenzhing in mouti |» Parental igure central | + Sensationimovement | + Laughs aloud
+ Sits with support (4 mo} + Issues of rust are key | + Schemas m0)
+ Stands with help (6 mo) + Stronger anvisty (6 mo) | + Assimilation and | * Ropettve
+ Craw, fear of faling (9 mo) | + Play's solitary and accommodation responding (8 mo)
+ Pincer grasp (12.m0) exploratory :
+ Fallows abjcts to midine | * Pat-e-cke, peoleaboo
(wn) (1070)
+ One-handed spproachigraep
oftoy
+ Feat in mouth (5 me
+ Bang and rate stage
‘Changes hands with toy
(sme),
Year 1 ~ Walk alone (13 me) ~ Separation andely(12mo) | + Achieves obec | » Great venation
+ Gime sas alone (18.0) | + Dependency on paren’ | permanence in timing of
+ Emergence of hand figure (rapprochement) language
peferenca (18 mo} + Onloakes and paral pay development
+ Uses 10 words
+ Kicks bal, throws ball
+ Stacks theo cubes (18 mo)
Year? * igh acy eve ~ Solish end sel-centered | Aworld of objects | ~ Use of pronouns
+ Walks backward + Iitates mannerisms and | + Can use symbols | = Parents
+ Cantum doorknob, unsere | actives + Transtion objets | understand most
laler + May be aggressive + Strong egocentism | words
+ Scribbles with rayon + No" fs avodte word + Conerote use of | * Telegraphic
+ Able to aim to throw bal objects sentences
+ Stands on iptoos (39 ma) + Twoword
+ Stacks sb cubes (24 ma} sentences
+ Uses 250 words
+ Names body
pars
Rides treyele * Fixed gender Wentiy - + Completes
+ Stacks 8 cubes (38 mo) + Soxepecie play sentences
+ Aterates fet going upstas | + Understands “Yeking turns? + Uses 800 words
+ Bowel and bledder centro! | + Knows sex and ful names + Undersinds 4
{oe waning) tat
+ Draws recognizable figures + Strangers oan
+ Catches ball with arms understand
+ Cuts paper with seisors + Recognizes
common objects
* Unbutions butions cermon oo
(Continued)
médical = 7