Professional Documents
Culture Documents
behaving and relating to self, others, and the environment. - personality includes perceptions, attitudes, and emotions. - biologic, genetic, environment and other people influence personality. Personality disorder - Diagnosed when the person caused emotional distress. - when the person exhibits enduring behavioral patterns. y Ways of perceiving and interpreting self, other people, and events (cognition) Range, intensity, lability, and appropriateness of emotional response (affect) Interpersonal functioning Ability to control impulses or express behavior at the appropriate time and place (impulse control).
- antisocial personality disorder are less likely to engage in criminal behavior, although problems with substance abuse and disregard for the feelings. - borderline personality disorder tend to demonstrate decreased impulsive behavior, increased adaptive behavior.
Psychodynamic Theories
Character consists of concepts about the self and the external world.
3 major character traits 1. self-directedness - responsible, reliable, resourceful, goal-oriented, and self-confident. - realistic and effective and can adapt their behavior to achieve goals. - low in self-directedness are blaming, helpless, irresponsible, and unreliable. 2. cooperativeness - a person sees himself or herself as an integral part of human society. -High-empathic, tolerant, compassionate, supportive, and principled. -Low- they look out for themselves without regard for the rights and feelings of others. 3. self-transcendence - a person considers himself or herself to be an integral part of the universe. - spiritual, unpretentious, humble, and fulfilled. - Low-self-transcendence are practical, self-conscious, materialistic, and controlling.
4. anxiety a. chronic cognitive anxiety (SSRIs and MAOIs) b. somatic anxiety c. severe acute anxiety(MAOIs or lowdose antipsychotic) The DSM-IV-TR clusters of personality disorders: Low reward dependence and cluster A disorders correspond to the categories of affective dysregulation, detachment, and cognitive disturbances High novelty seeking and cluster B disorders correspond to the target symptoms of impulsiveness and aggression. High harm avoidance and cluster C disorders correspond to the categories of anxiety and depression symptoms.
Psychopharmacology
4 symptom categories 1. cognitive perceptual distortions - Magical thinking, odd beliefs, illusions, suspiciousness, ideas of reference, and low-grade psychotic symptoms (low-dose antipsychotic medications) 2. affective symptoms and mood dysregulation - symptoms include emotional instability, emotional detachment, depression, and dysphoria. - Emotional instability and mood swings respond favorably to lithium, carbamazepine (Tegretol), valproate (Depakote), or low-dose neuroleptics such as haloperidol (Haldol). 3. aggression and behavioral dysfunction - Lithium, anticonvulsant mood stabilizers, and benzodiazepines are used most often to treat aggression. - Low-dose neuroleptics may be useful in modifying predatory aggression
Cognitive-behavioral therapy - stops negative thought patterns; positive self talk - decatastrophizing that teaches the client to view life events more realistically ( to lower anxiety) Dialectical behavior therapy (DBT) - for clients with borderline personality disorder - focuses on distorted thinking and behavior based on the assumption that poorly regulated emotions are the underlying problem
CLUSTERAPERSONALITY DISORDERS
A. PARANOID PERSONALITY DISORDER
characterized by pervasive mistrust and suspiciousness of others. Harmful (malevolence) develop transient psychotic symptoms when stressed out ( sumpong ) appear aloof and withdrawn and may remain a considerable physical distance from the nurse; they view this as necessary for their protection. appear guarded or hypervigilant have a restricted affect and be unable to demonstrate warm or empathic emotional responses Mood is labile, quickly changing from quietly suspicious to angry or hostile use the defense mechanism of projection which is blaming other.
Nursing Interventions
development of self-care and social skills and improved functioning in the community. ( daily hygiene ) The nurse can then role-play interactions that clients would have with each of these people ( to practice clear and logical of patient )
Nursing Interventions
approach these clients in a formal, businesslike manner. Being on time, keeping commitments, and being particularly straightforward helping clients to learn to validate ideas before taking action to avoid further problems ( to reorient client to reality )
Nursing Interventions
referrals to social services for assistance promote socialization through group activities
false emotions they view the world narrow, distorted, cold, hostile oriented, average or above IQ gusting makuha kaagad kung anung gusto Impulsive Manipulative
Intervention
FORMING A THERAPEUTIC RELATIONSHIP AND PROMOTING RESPONSIBLE BEHAVIOR - Confrontation is another technique designed to manage manipulative or deceptive behavior. ( to keep clients focused on the topic )
E. BORDERLINE PERSONALITY DISORDER - a prolonged disturbance of personality function - most common type of personality
dysphoric involving unhappiness, restlessness, and malaise
Cognitive restructuring helping clients to recognize negative thoughts and feelings and to replace them with positive patterns of thinking. - Thought-stopping is a technique to alter the process of negative or self critical thought patterns - positive self-talk, the client reframes negative thoughts into positive ones - Decatastrophizing is a technique that involves learning to assess situations realistically rather than always assuming a catastrophe will happen
G. NARCISSISTIC PERSONALITY DISORDER - pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy - pretentious - display an arrogant or haughty attitude. ( being superior ) - Thought-processing is intact, but insight is limited or poor.
pattern of social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation, and avoidance of social interaction.