psych
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| psychoanalytic theroy | all human behavior is caused and can be explained(Freud)
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| free association | saying a word and having the client respond quickly as possible
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| ego defensive mechanisms (EDM) | way of coping with basic drives or emotional painful thoughts feelings or events
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| (EDM) compensation | overachievement in one area to compensate for perceived lack of another area
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| (EDM)conversion | expression of emotional conflict through development of physical symptoms
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| (EDM)denial | failure to acknowledge unbearable condition
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| (EDM)displacement | venting intense feelings towards less threatening than the one who elicted them
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| (EDM)dissociation | temp altercation of con to deal with conflict, example amnesia after accedent, or adult that remembers nothing of childhood sexual abuse
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| (EDM)fixation | stuck in one of the childhood developmental stages
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| (EDM)identification | modeling actions and opinions of influential others while searching for identity.
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| (EDM)intellectualization | ignoring emotions and addressing the facts
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| (EDM) introjection | accepting anothers values and belifes and attatudes as ones own, ex. person who dislikes guns becomes a hunter just like his best friend
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| (EDM)projection | blaming of unacceptable thoughts on another, ex. closeted homo beats the crap out of a gay man.
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| (EDM)rationalization | excusing behavior avoiding responsibility for it by blaming others (thus rationalizing it)
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| (EDM)reaction formation | acting the opposite of what one thinks. ex. complementing the boss that you wish was face down in a gutter dead in his won piss and shit, being eaten by rats and stray dogs
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| (EDM)regression | moving back to a developmental stage. man pouts like a five year old girl is his girl friend ignores him.
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| (EDM)repression | removal of thoughts that are to painful. woman dosnt remember being mugged yesterday
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| (EDM)resistance | overt or covert antagonism toward remembering or processing anxiety producing information. attends court ordered AA but wont participate
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| (EDM)sublimation | substituting a socially acceptable activity for an umpulse that is unacceptable, ie. subbing hard candy for a cigerette, going for a 15 min walk when hungry for an entire pizza, cake and a 2L of mt dew.
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| (EDM)substitution | replacing the desired gratification with one that is more readily available. woman wants a child and opens a daycare
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| (EDM)supression | conscious exclusion of unacceptable thoughts and feelings from the conscious awareness. student wont think about parents illness to study for a test, woman tells a friend that she cant think about her sons death right now
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| (EDM)undoing | exhibiting acceptable behavior to make up for or negate unacceptable behavior. cheating wife cleans house and makes a nice dinner for husband and blows him under the dinning room table.
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| taxonomy that decribes all mental disorders, outlining specific diagnostic criteria | DSM-IV-TR. uses multiaxial classification system (axis 1-5)
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| axis 1 | psychiatric disorders except retardation, and personality disorders, examples include schizophrenia anxiety depression and substance related disorders
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| axis 2 | reports mental retardation and personality disorders, prominant maladaptive personality features and defense mechanisms
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| axis 3 | curent medical conditions co morbidities
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| axis 4 | psychosocial enviromentalproblems IE. lack of primary suport system, social enviroment, education occupation, housing, economics and access to health care and legal assistance
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| axis 5 | Global assessment of fuctioning ranges from 0-100.
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| 3 factors influncing a persons mental health | individual, interpersonal, social/cultural
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| Peplaus stages of relationships | orientation, identification, exploration, resolution
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| Orientation phase | problems and needs id, pt asks Q's, expectations explained, pt harnesses energy toward meeting problems, pts full participation is elicted
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| Identification phase | pt responds to persons pt feels is helpful, pt feels stronger, pt expresses feelings, interdependant work is done with the RN, roles are established between RN and pt
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| Exploration phase | pt makes full use of services available, goals are such as going home and returning to work emerge, patients behaviors flux between dependance and independence,
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| Resolution | pt gives up dependent behavior, services are no longer required by pt, pt assumes power to meet own needs set new goals and so forth
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| 4 levels of anxiety | mild moderate severe and panic
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| mild anxiety | hightened awareness and sharpened senses, learning new behaviors and solving problems, full perceptual field
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| moderate anxiety | decrease in perceptual field, can learn and solve only with assistance
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| severe anxiety | perceptual field reduced to one detail or scattered details, can not complete tasks as directed, physiological symptoms tach increased resps, diaphoresis, chest pain
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| panic anxiety | loss of rational thought, delusions, hallucinations, and complete physical immobility and mutness, person may bolt and run aimlessly and suffer injury from stupidity(dumb ass)
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| first stage of crisis | the person is exposed to a stressor experiences anxiety and tries to cope in a customary fashion
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| second stage of crisis | anxiety increases when customary coping fails
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| third stage of crisis | the person all possible efforts to deal with the stressor including attempts at new methods of coping.
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| forth stage of crisis | when coping attempts fail the person experiences disequilibrium and significant distress
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| maturational crisis | sometimes called developmental crisis, are predictable, events in the normal course of life such as leaving home, having a baby(fuck!)
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| situational crisis | unanticipated, that threaten the individuals integrity such as death, loss of a job, or home, physcial or emotional illness
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| adventitious crisis | (social crisis) include natural disasters, war, earthquakes riots and violent crimes such as rape or murder
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| 3 factors that affect the outcome of a crisis | individuals perception of the event, emotional supports and availability of adequate coping skills
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| all crisis comes to an end, three ways that happen (if person is living at the end of it) are | 1)person returns to precrisis level of functioning. 2)functions a new higher level. 3)persons functioning stabilizes at a lower level.
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| crisis intervention (requires assessment of individual) | direct intervention:assess health and promote problem solving, Supportive interventions:offering understanding and encouragement and afferming self worth
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