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