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3.30 Psychological Response to Illness
by Dr. Conrad
53
Psychology
Professional
04/15/2012

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Term
What is the underlying cause of a dependent personality disorder?
Definition
threat of abandonment
Term
What is the underlying cause of an obsessional personality disorder?
Definition
loss of control over body and emotions
Term
What is the underlying cause of histrionic personality disorder?
Definition
loss of love or attractiveness
Term
What is the underlying cause of masochistic personality disorder?
Definition
ego-syntonic, conscious or unconscious punishment
Term
What is the underlying cause of paranoid personality type?
Definition
proof world is against patient; medical care is invasive and exploitive
Term
What is the underlying cause of a narcisiitic response to illness?
Definition
threat to self concept of perfection; shame evoking
Term
What is the cause of a schizoid response to illness?
Definition
fear of intrusion
Term
How do you manage a patient with dependent type personality?
Definition
reassure within limits, schedule visits, mobilize support, avoid tendency to withdraw
Term
What is the countertransference of dependent patients?
Definition
powerful and needed or annoyed and avoids patient
Term
What are the the countertransferrance of obsessional personality type?
Definition
may admire, extreme anger "battle of wills"
Term
How should obsessional patients be managed?
Definition
set routine, give patient choice to increase sense of control, provide info; collaborative approach
Term
What is the countertransference of histrionic patients?
Definition
anxiety, impatient, erotic
Term
How should patients with histrionic personality be managed?
Definition
balance warmth and formality, clear boundaries, encourage discussion of fears
Term
What is the countertransferance of masochistic patients?
Definition
anger, hate, frustration, self-doubt
Term
How should masochistic patients be managed?
Definition
avoid excessive encouragement, share pessimism, treatment is another burden to endure
Term
What is the countertransferance of paranoid personality type?
Definition
anger; feels attacked or accused; may become defensive
Term
How should paranoid patients be managed?
Definition
avoid defensive stance, acknowledge feelings without disputing, avoid excessive warmth, don't confront irrational fears
Term
What is the countertransferance for narcissitic patients?
Definition
anger, desire to counterattack, feelings of inferiority, enjoyment of feeling of status of working with an important person
Term
How should narcissistic patients be managed?
Definition
resist desire to challenge patient's entitlement, take humble stance, provide opportunities ofr the patient to show off
Term
What is the countertransference of schizoid patients?
Definition
little connection to patient, difficult to engage
Term
How should schizoid patients be managed?
Definition
respect privacy, prevent from completely withdrawing, maintain gentle, quiet interest in patient
Term
What are the two general types of coping styles?
Definition
problem-focused (when the patient percieves that they their situation is changeable or within their control) or emotion focused (when conditions are out of patients control)
Term
What type of coping style involves hostile or aggressive efforts to alter a situation?
Definition
confrontational coping
Term
What type of coping style involves attempts to detach oneself mentally from a situation?
Definition
distancing
Term
What type of coping style involves attempts to regulate one's feelings or actions?
Definition
self-controlling
Term
What type of coping style involves delibreate and carefully thought out efforts to alter the situation?
Definition
problem solving
Term
What type of copings style involves efforts to reframe the situation in a positive light?
Definition
conducting positive reappraisal
Term
What are the mature defense mechanisms?
Definition
supression, altruism, humor, sublimation, anticipation
Term
What is suppression?
Definition
consciously putting disturbing experiences out of mind
Term
What is altruism?
Definition
vicarious but instinctively gratifying service to others
Term
What is humor?
Definition
overtexpression of noramlly unacceptable feelings without unpleasant effect
Term
What is sublimation?
Definition
attenuated expression of drives in alternative fields without adverse consequences
Term
What is anticipation?
Definition
realistic planning for inevitable discomfort
Term
Name the neurotic defenses.
Definition
repression, control, displacement, intellectualization, rationalization, isolation of affect, undoing
Term
What is repression?
Definition
involuntary forgetting of a painful feeling or experience
Term
What is control?
Definition
manipulation of external events to avoid unconscious anxiety
Term
What is displacement?
Definition
transfer of an experienced feeling from one person to another or something else
Term
ha is intellecutalization?
Definition
replacing feelings with facts/details
Term
What is rationalization?
Definition
inventing a convincing but usually false reason why one isn't bothered
Term
What is isolation of affect?
Definition
separating a painful idea or event from feelings associated with it
Term
What is undoing?
Definition
ritualistic removal of an offensive act
Term
Name the immature defenses?
Definition
splitting, idealization, devaluation, projection, pojective identification, acting o ut, passive aggression, intermediate denial
Term
What s idealization?
Definition
seeing oneself or others as all-powerful or ideal
Term
What is devaluation?
Definition
depreciating others
Term
What is projection?
Definition
attributing unacceptable impulses or ideas to others
Term
What is projective identification?
Definition
causing others to experience one's unacceptable feelings; one then fears or tries to control the unacceptable behavior in the other person
Term
What is acting out?
Definition
direct expression of an unconscious wish
Term
What is passive aggression?
Definition
expressing anger indirectly and passively
Term
What is intermediate denial?
Definition
refusal to acknowledge painful realities
Term
Name the psychotic defenses.
Definition
psychotic denial, delusional projection, schizoid fantasy
Term
What is psychotic denial?
Definition
obliteration of an external reality
Term
What is delusional projection?
Definition
externalization of inner conflicts and giving them tangible reality; minimal reality testing
Term
What is a schizoid fantasy?
Definition
withdrawal from conflict into social isolation and fantasizing
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