Exam 1 Mental Health Chapter 7

Chapter 7 Models for working with psychiatric patients -Well known among most mental health professionals -Moves the mental health care system away from the medical model -Does not involve a cure but rather a movement toward a meaningful way of life 1. Person driven -Patient striving to improve his or her own health and wellness 2. Occurs via many pathwa -Striving to achieve three full potential of life 3. Holistic -Mental health professionals collaborating with consumers instead of being told 4. Supported by peers what to do 5. Supported through >Encourage consumers to try new things while taking responsibility for relationships their own care 6. Culturally based and -Recovery is non linear; setbacks are not failures influenced -Create atmosphere of hope 7. Supported by addressing -Person is not identified by their illness -Consumers develop meaningful roles in their communities, not with the mental trauma 8. Strength based health system 9. Based on respect -Support systems include family, peer, and community members 10. Emerges from hope Sigmund Freud -Emphasized unconscious process of psychodynamic factors for motivation and behavior -Self psychology: every human longs to be appreciated -Object relations theory: individuals relate to others based on expectations formed by early experiences -Personality is developed by early childhood -If early parental relationships are secure and loving, the child grows up in secure relationships -Transference: unconscious distortion in the relationship; a patient displaces distrustful feelings to her m psychiatrist and refuses treatment -Projective identification: unconscious relationship-oriented mental mechanism that when one individu to the second person, who reacts to the projection, the reactivity elicits a response from first the per Information within the persons awareness Memories, conflicts, experiences, and material that have been repressed and c be recalled at will Memories that can be recalled to the consciousness with some effort When anxiety becomes too painful defense mechanisms are used to protect the ego and diminish anxiety; excessive use prevent the patient from problem solving Refusal to admit an unacceptable offer or behavior Involuntary forgetting of painful ideas, events, and conflicts Emission from awareness anxiety producing feelings, ideas, & situations Attempts to make or prove that ones feelings or behaviors are justifiable Using only logical explanation without feelings or an affective compo Separation of painful feelings and emotions from an unacceptable idea, situation, or Attempt to model oneself after a resurrected person Incorporating values and attitudes of others as if they were your own Covering up for aweakness by overemphasizing or making up a desirable trait Channeling instinctual drives into acceptable activities Behavior that is the exact opposite of an unconscious feeling Doing something to counteract or make up for a transgression or wrongdoing Discharging pent up feelings to a less threatening object Attributing ones own repressed thoughts to someone else Expression of intrapsychic conflict symbolically through physical symptoms Return to an earlier and more comfortable developmental level -Erikson’s psychosocial theory of development focuses on the impact of environmental factors, parents, society on personality development from childhood to adulthood -According to Erikson’s theory, every person must pass through a series of 8 interrelated stages over the cycle from birth to death >Successful completion of each stage leads to a healthy personality, coupled with successful inte with others >Failure to complete a stage results in reduced ability to cope psychologically - Suspicion of others; fear of criticism and closeness; withdra s -Patients with psychiatric disorders demonstrate partial mastery of developmental stages -Assessment identifies the degree of mastery of each stage up to the patients age -Assessment reveals Issues to be addressed while working with the patient -Overcoming delayed or incomplete development is difficult but possible -Sullivan believed that the interactional was more important than the intrapsychic -Sullivan also considered the a social being with the ability to have relationships with o was viewed as any degree of lack of awareness or skill in interpersonal relationships are viewed as sources of anxiety, maladaptive behaviors, and negative personality form -IPT addresses stressful social and interpersonal dynamics associated with depressive symptoms >Goal is to improve social functioning by examining interpersonal disputes, role transitions, grief, interpersonal deficits -The nurse using IPT focuses on a patient's current interpersonal relationships and experiences -The gods of therapy is to develop mature and satisfactory relationships that are relatively free from an -Nurse patient relationship is a vehicle to analyze the patient's interpersonal process and test new reala skills -Beck's cognitive therapy and Ellis' rationale motive therapy model focuses on thinking and behaving ra on expressing feelings -Cognitive approach is used and is based on individuals’ ability to think, analyze, judge, decide, and do -Goal of therapy is to reevaluate distorted or maladaptive thinking learned in childhood, leading to more ways of thinking and behavior -Beck and Ellis believe that individuals think rationally and irrationally and that irrational or illogical be responsible for causing problems -Cognitive behavioral therapy (CBT) builds on cognitive therapy with learning principles