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Terms in this set (112)
• Admit to hospital
Different ways to
• Partially hospitalized
diagnose/treat people
• In day treatment settings
o Goal is to manage pt affect in group context
Milieu management is a Community meetings
significant part of treatment Coping skills group
Socialization groups
o Calmly review therapeutic goals
o boundaries of treatment
• When behaviors emerge
o avoid rejection and rescuing
• Assess for suicide intentions
thought to be a result of chronic physical illness,
Dependent Personality
punishment, indecent behavior or independent
Disorder
behavior in childhood, inherited trait of submissiveness,
dependent personality o Empathy
disorder-• What is o Independence
important when planning
their care?
o Clingy
o Submissive
o Fear of separation
o Difficulty making everyday decisions
o Dependent on other people to do things for them
dependent personality o Need others to assume responsibility for the major
disorder-characteristics areas in their life
o Do not express any kind of disagreement
o Difficulty in initiating projects or doing things on their
own
o Helpless or uncomfortable being alone
Due to fears of being unable to care for themselves
,Borderline Personality Thought to be a result of early abandonment which
Disorder- results in an unstable view of self and others
• Importance of maintaining a calm and matter of fact
response
• Don't give in to the persuasion of these patients trying
Borderline personality
to manipulate
disorder-important in
• Give rules, don't sugar coat, and be consistent
planning care
o Behavioral contracts
• Goal is to get these patients to verbalize when they
want to hurt either themselves or others.
o Dramatic
o Instability in emotional regulation and interpersonal
relationships
o Impulsiveness
Spending money
Borderline personality
Binge eating
disorder-characteristics
Sex
Substance abuse
Reckless driving
o Identity of self-image distortions
o Unstable mood and affect
Cutting
Promiscuous sexual behavior
Numbing with substance abuse (most common)
Splitting (primary defense mechanism coping style):
cannot incorporate positive and negative aspects of
Borderline personality one's self or others into one image. Idealize a person at
disorder-Ineffective and start of a new relationship and hoping this person can
harming self-soothing meet all their expectations. With the first frustration
habits comes immediate hatred of the same person.
Suicidal behaviors
• Will make gestures and threats
Feelings of emptiness
Inappropriate and intense flashes of anger that are
uncontrollable
Earliest as 3-5 yrs of age with an overly intense
Histrionic Personality
attachment to parent of opposite sex parent which
Disorder-
results in fear of retaliation of same sex parent
, o Uncomfortable in situations where self is not the
center of attention
o Interactions with others is often characterized by
inappropriate sexual seductive and provocative
behavior
Histrionic Personality o Consistently using physical appearance to draw
Disorder- Know attention to self
characteristics one might o Self-dramatic, theatrical
exhibit Exaggeration of expression and emotion
o Think relationships are more intimate than they
actually are
o Excessive emotional and attention seeking
begins in early adulthood
Presents in variety of contexts
result of childhood neglect and criticism. Did not learn
that other people can be the source of comfort and
Narcissistic Personality
support so as adults they hide their feelings of
Disorder
emptiness with exterior or invulnerability of self
sufficiency
o No sympathy for others
o Excessive admiration of self
o Thoughts of entitlement
Everything is mine
I am the best
Narcissistic Personality You owe it to me
Disorder-Know signs and I'm perfect
symptoms of what a patient Admire me
would appear like with this Its all about me
disorder o Obsessed with themselves
o Will take advantage of others in order to achieve
personal goals
Make themselves look the best regardless of the cost
o No thought to the feelings of others
o Not fun to be around
Obsessive Compulsive thought to be a result of excessive parental criticism,
Disorder- control and shame