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Mental Health Exam 2
Terms in this set (19)
Family Theorist, looks at ways to understand family
-Differentiation of Self
-Nuclear family emotional system
-Family projection process
-Emotional cut off
-Multigenerational transmission process
Differentiation of Self
-Extent to which a person is able to distinguish between the intellectual process and the feeling process
-Striving for balance, achieving self-definition but not losing spontaneous emotional expression
-Fusion is when there is no balance between thoughts and feelings
-Basic building block in a family's emotional system
-When a moderate anxiety level is reached between two family members, one of the family members may bring in a vulnerable third person.
-Triangles dilute anxiety
Multigenerational Transmission Process
-Multigenerational Transmission ProcessMultigenerational Transmission Process
-tell about family of origin
-"my mom always did it this way... we never talked about this/feelings at home"
-how things got dealt with
"Feelings of worth can flourish only in an atmosphere where individual differences are appreciated, mistakes are tolerated, communication is open, and rules are flexible--the kind of atmosphere that is found in a nurturing family."
-FAMILY IS RESPONSIBLE FOR ITS OWN SOLUTIONS.
-THERAPIST USES NURTURING AND IDENTIFIES DYSFUNCTIONAL COMMUNICATION PATTERNS
-If messages are being clearly communicated
-RESTRUCTURES DYSFUNCTIONAL TRIANGLES
-LOOKS AT ENMESHMENT AND DISENGAGEMENT ISSUES
IP (identified patient)
IP (identified patient)- often seen in the sick role
-typically the one who notices that something is wrong, saying "we need help"
Virginia Satir: family roles
Also talks about the different roles within the family
-HERO ROLE who people look up to
-MASCOT ROLE who eases up the tension or who releases anxiety
-LOST CHILD ROLE the one who always gets in trouble and usually center of attention
Causes of Personality Disorders
Biological, Social/Cultural, and Psychological
Purposeful behavior directed at getting one's need met, sometimes without regard for the needs, goals, and feelings of others.
1. DISCUSS AND DESCRIBE CONCERNS ABOUT THE BEHAVIOR WITH THE PATIENT
2. COMMUNICATE ESTABLISHED BEHAVIORAL EXPECTATIONS AND CONSEQUENCES.
3. SET LIMITS ON INAPPROPRIATE BEHAVIOR.
Defense mechanism where person sees self or others as all good or all bad, failing to integrate the positive and negative qualities of the self and others into a cohesive whole.
1. MILIEU STAFF COMMUNICATE WITH ONE ANOTHER TO AVOID BEING CONTRIBUTORS TO THE PATIENTS MISPERCEPTIONS.
2. STAFF HAVE TREATMENT PLAN FOR HANDLING SPECIFIC PATIENT ISSUES.
-calm, united approach by staff
-regular staff meetings
-treat self-destructive behaviors with a matter-of-fact approach
-empathetic approach to the hurt behind the confrontation by the patient
-communicate and enforce unit rules
-no self-harm contract
-assist with appropriate object relations
Nursing Interventions: Cluster A
MORE ODD or ECCENTRIC
-respect need for isolation
-avoid being too friendly
-explain procedure prior to providing it
-bring medications in wrapper and open in front of patient
-project a neural but kind affect
-be aware of suspiciousness and intervene as patient is able
-avoid touching the patient unless required and then notify the patient first
-BE AWARE that patient can interpret staff talking to one another as they are talking about the patient
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