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121 Cards in this Set
- Front
- Back
A person's image of oneself.
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self-concept
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The way a person explains himself to others based on own self evaluation.
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self-perception
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The individual's ability to develop and use skills to integrate and manage life skills.
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Ego Integrity
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This broad term includes self concept, body image, anxiety, coping and cultural and spiritual factors.
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Ego Integrity
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AKA self image
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self-concept
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How we explain ourself to others.
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self-perception
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How a person sees himself in interactions with others (role and role performance).
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social identity
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The awareness that one is distinct and separate from others.
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personal identity
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Our value, self worth
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self-esteem
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Term includes awareness of one's moral-ethical self, intellectual self and emotional self.
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personal identity
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How an individual feels about his body.
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body image
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How a person thinks they look.
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body image
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Body image is strongly influenced by ____ _____.
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cultural factors
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Self esteem is derived from these two sources:
a) b) |
a) self
b) others |
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Self esteem hinges on these two factors and when not given, the child incorporates a low self esteem.
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1. love
2. approval |
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Early in life a child uses THIS as his self esteem. Later in life, he uses THIS as his form of self esteem.
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parent's evaluation
other's appraisal along with self appraisal |
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What two types of assessments can you have in regard to self concept?
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subjective (things they verbalize)
and objective (measured, seen, quantified, behavior, palpated, observable, vital signs, physical assessment) |
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What would bad body posture signal?
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self esteem issue
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What would these observations signal?
inability to make eye contact scars hair style clothing that hides body family/friends present |
inability to make eye contact = self esteem issue
scars= body image issue hair style= identity clothing that hides body=body image issue family friends present = roles relationships |
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In the definition of anxiety, there is an uneasy feeling of discomfort or dread, accompanied by this....
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an autonomic response
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What is the cause of the uneasy feeling or discomfort or dread with anxiety?
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no known cause
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What is the source of anxiety for an individual?
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not often known...unspecific
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This is usually caused by a physical threat, threat to self concept or a threat to psychological self.
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Anxiety
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How can anxiety manifest?
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physiological
behavioral psychological (symptoms) |
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There are four theories of anxiety. List them along with an example.
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Psychological - Freud (conflict between id and superego)
Behavioral - (a learned way to respond that can be unlearned) Biological - Cannon's fight or flight Psychoneuroimmunological - (physiological)...there is a link between stress and the immune system and disease. |
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If a threat has a known cause, what is it called?
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Fear, not anxiety
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What level of anxiety has tachycardia?
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severe
in panic it is severe tachycardia |
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What level of anxiety has increased respiration?
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moderate
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What is the respiration rate for panic anxiety?
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gasping for breath
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Describe the bp levels in the different stages of anxiety.
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mild - slightly increased bp
moderate - increased bp severe - hypertension 140/80 panic - increased hypertension; may suddenly drop and become hypotension |
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What is the key word to describe the voice in mild anxiety? and moderate anxiety?
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mild anxiety - Normal & Even
moderate anxiety - slightly increased...pitch, volume, modulation or rate |
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Describe somatic response during panic attack.
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might be immobilized, severe shakiness, prolonged panic states incompatable with life
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If a patient has shakiness, what level of anxiety is this?
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moderate
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What if a patient has dizziness, nausea, headache, sleeplessness and cold sweats?
ANXIETY |
severe anxiety
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What can happen with prolonged severe anxiety to the somatic system?
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possible tissue damage can occur if the anxiety state is prolonged
****note that this is at the severe level |
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What is the key to behavior to mark the severe stage in regard to anxiety?
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not goal oriented behavior
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How is the severe stage of anxiety different from the panic stage of anxiety with regard to behavioral data?
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there is LOSS of behavioral control in panic
all behaviors seek IMMEDIATE RELIEF in panic patient moves from crying, pacing and picking at self to SHOUTING AND SCREAMING |
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When a patient shows withdrawl, what stage of anxiety is it?
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severe anxiety
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When a patient is fidgeting, tapping or lip chewing, what stage is it?
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mild anxiety
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Patient reports tunnel vision. What level of anxiety?
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severe
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Child has selective filtrating...tuning out things. What level?
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moderate
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Patient is unable to focus on environment...feels she ceases to exist.
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panic anxiety
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Patient states learning is difficult and retention is low during day, and at night, learning is impossible.
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am- moderate anxiety
pm- severe anxiety |
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Client is delusional with disorganized form of thought.
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panic anxiety
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Patient is able to label and own anxiety and its needs
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mild anxiety
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Patient is able to label anxiety with help
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moderate anxiety
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Client does not respond to outside attempts at clarification and validation of experience
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severe anxiety
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When do you need to stay with a client and provide safety and comforting measures?
level of anxiety |
severe and panic
with panic stage, you need to also prevent dehydration and exhaustion, minimize environmental stimuli |
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What level of anxiety do you place no demands on the client?
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panic stage...in severe stage you place limited demands on client
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During each of the stages of anxiety, how do you communicate to client what is happening, or what they are feeling?
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mild - acknowledge and validate client's id of anxiety and feelings assist client to identify the precipitating even/cause of anxiety
moderate - assist CLIENT to label as anxiety severe - label anxiety FOR client panic - INTERVENE IMMEDIATELY with client behaviors and symptoms as presented |
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Tears running down cheeks
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severe anxiety
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When you speak to patient, she does not acknowledge your presence.
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severe - this falls under sensory...focus in on details or one specific detail
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Repeated crossing of arms and uncrossing of arms.
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moderate anxiety
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BP is 132/85
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moderate anxiety
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Feelings of terror and frozen on the spot.
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panic
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Rambling incessantly
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panic
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Does not maintain eye contact
(anxiety level) |
moderate...selective filtering
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Patient reports problems with sleep and appetite.
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Severe...under somatic responses.(dizziness, nausea, headache, sleeplessness, cold sweats)
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The assessment should reveal data about coping skills. What four things do we look for?
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What are the stressors?
How do you respond to the stressors normally? How do you respond to the stress today? Are you using adaptive or maladaptive coping? |
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What is the lowest level on Maslow's pyramid?
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Physiological Needs (food, water, oxygen, elimination, rest and sex)
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This level of need in Maslow's pyramid could be described as a feeling of security and order.
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Safety Needs (also known as Erickson's Trust vs. Mistrust)
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What is the third level on Maslow's pyramid, above physiological needs and safety needs?
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Love and belonging needs....need for interaction with someone else
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This level on Maslow's hierarchy of needs can be described as self value, worthiness.
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Esteem Needs...self esteem related to competency, achievement and esteem from others
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How do you describe the self actualization level on Maslow's hierarchy of needs pyramid?
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Spiritual
Becoming all you can be At the Top |
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Where does a need come from?
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It evolves from a state of tension that disrupts your equilibrium..it motivates a response. (can be internal or external)
need - tension - behavior - need met |
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Defense Mechanism
Described as an attempt, by way of a symbolic act, to undo or abolish a previous act or thought. |
Undoing
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Defense Mechanism
Described as protection from awareness of unacceptable, unwanted thoughts, feelings or impulses by the development and overemphasis of the opposite. |
Reaction-Formation
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What are the categories of defense mechanisms?
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Defenses against Knowing
Respecting Defenses Distorting Defenses |
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Defense Mechanism
An example would be a homosexual male is incredibly religious and a gay basher. |
Reaction-Formation
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Defense Mechanism
An example would be apologizing. |
Undoing
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Suppression and repression are examples of what two categories of defense mechanism?
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Defenses against Knowing
Respecting Defenses |
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Defense Mechanism
Described as the process of separating a painful emotion from a thought, idea or experience by talking about it without feeling the pain. |
Intellectualization
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Defense Mechanism
Described as the emotional components or affect of an idea, thought or experience is removed from awareness in an effort to prevent discomfort. |
Isolation
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Defense Mechanism
An example of this is when a person does not show the emotion and does not talk about it. It is removed from awareness. |
Isolation
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Defense Mechanism
An example of this would be a person that is talking very matter of factly about an emotional situation without showing the emotion. But they ARE talking about it. |
Intellectualization
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Defense Mechanism
An example of this is a person who is having a bad day at work, so they get mad at their kids. |
Displacement
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Defense Mechanism
An example of this is road rage, or spousal abuse. |
Displacement
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Defense Mechanism
Described as the transfer of emotions associated with one idea, person or situation to another more acceptable, less threatening one. |
Displacement
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How does isolation differ from intellectualization?
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Intellectualization actually talks about the emotion while isolation does not even acknowledge it.
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How does isolation differ from denial?
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Denial you are aware of it and you change it because you can't handle it. Isolation is when you are totally unemotional and don't show emotion and don't talk directly about it.
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Defense Mechanism
This is described as the expression of emotional discomfort and psychosocial stress in the physical language of bodily symptoms. |
Somatization
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Defense Mechanism
This could be described as psychosamatic, but they don't want us to use those words. |
Somatization
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Defense Mechanism
This is described as the category that is completely out of touch with reality. |
Distorting defenses....these are maladaptive
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Defense Mechanism
An example of this is when a person gets sick around someone else but they are unaware that it is because they don't like that person. |
Somatization
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Defense Mechanism
This is described as attributing one's own unacceptable thoughts or impulses to other as if they orignated in the other person. |
Projection
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Defense Mechanism
An example would be when someone is attracted to their boss, but accuse the boss of sexual harassment. |
Projection
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Defense Mechanism
Described as an individual accepts or takes in another's values, options, or attributes as their own. |
Introjection
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Defense Mechanism
An example is the I LIKE HORSES. |
Introjection
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Defense Mechanism
Described as the splitting off from awareness some aspect of an experience. The anxiety producing material is then repressed. Material that has been dissociated remains in the unconscious where it has a life of its own, separate from what is known to the individual. |
Dissociation
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Defense Mechanism
An example of this is a factory worker who earns minimum wage states, "I just bought an airplane for my upcoming trip to Europe." |
Fantasy
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Defense Mechanism
An example of this is multiple personality disorder. |
Dissocation
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What type of defense mechanism is fantasy?
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distorting defense
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Defense Mechanism
An example of this is blaming someone else for the problem. |
rationalization
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Defense Mechanism
Described as offering a socially acceptable and more or less logical explanation for an act or decision actually produced by unconscious factors. |
rationalization
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Defense Mechanism
This is our mind protecting us from a painful attack on our self image by blaming it on someone else. |
Rationalization
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Defense Mechanism
Described as deliberate and conscious (ONLY ONE) exclusion from awareness of unwanted thoughts, feelings or desires. |
suppression
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Defense Mechanism
An example of this is when a soldier is unable to recall battles he was in or his feelings while fighting. |
Repression
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This is the pivotal defense mechanism. Unacceptable material (desires, impulses, thoughts) is involuntarily put out of awareness and cannot be voluntarily recalled.
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Repression
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What is the difference between suppression and repression?
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suppression is conscious and you can recall it later.
repression is unconscious and you can not recall it later |
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Defense mechanism
Described as painful or anxiety producing aspects of awareness are blocked completely out of consciousness. The reality of the situation is either completely disregarded or transformed so that it is no longer threatening. |
denial
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What is the first category of defense mechanisms?
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Defenses against Knowing
suppression repression denial rationalization |
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Defense Mechanism
Described as achieving gratification of a drive or impulse in an indirect way by channeling the energy of the drive into an acceptable adaptive or constructive pursuit. |
Sublimation
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Defense Mechanism
Described as overemphasizing a characteristic or other aspect of the personality to make up for a real or imagined failure or inadequacy. |
Compensation
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Defense Mechanism
Described as unconsciously modeling one's self after another person or group. |
Identification
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Defense Mechanism
Described as an object, idea or act represents another through some common aspect and carries the same emotional quality as the other. |
Symbolization
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Defense Mechanism
Described as loss of some mature personality development or reversion to immature levels or behaviors. |
Regression
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Defense Mechanism
Described as actual physical symptoms produced by the body to resolve conflict and prevent anxiety. These symptoms are often a symbolic expression of the conflict and are not under voluntary control. |
Conversion
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Defense mechanism
What is the difference between conversion and somatization? What are the similarities? |
Conversion is much more severe than somatization....but they both have physical symptoms coming from some type of anxiety.
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Defense mechanism
Defined as an object, idea or act represents another through some common aspect and carries the same emotional quality as the other. |
Symbolization
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Defense Mechanism
Example is older child resumes sucking thumb when new baby is born. |
regression
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Defense mechanism
Example is that tall men make you feel safe. You seek out tall men. |
Symbolization
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Defense mechanism
Example is person is unaware they act, speak and dress like their boss. |
Identification
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Defense Mechanism
Example is beauty and the geek. |
Compensation
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Defense Mechanism
Example is a very aggressive person becomes a butcher. |
Sublimation
The only one that is healthy |
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Defense Mechanism
Example is a person becomes paralized so they don't have to go to war. |
Conversion
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What is role conflict?
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When one or more role expections compete against one another.
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What is role overload?
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When the person can't manage the competing demands of the roles because of insufficient time.
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What is role incompetence?
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When a person doesn't have the skills or knowledge to fulfill a role
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What is the difference between content and process?
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content is just literal spoke or written language
process is verbal and non verbal together it is the overall message |
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What is directive communication?
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an example would be your intake assessment. you asked all the questions
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What is indirect conversation?
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when a client directed the conversation and you answered their questions
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