Mental Health

Front 1

COMPENSATION

Back 1

Allows a person to overcome weakness and achieve success.

Front 2

COMPENSATION

Back 2

(A) A highschool student too small to play football becomes the star long distance runner for the track team.
(B) A physically challenged young man who is unable to participate in sports compensates by becoming a great scholar.

Front 3

DENIAL

Back 3

Temporarily isolates a person from the full impact of a traumatic situation.

Front 4

DENIAL

Back 4

(A) A woman drinks alcohol everyday and cannot stop, failing to acknowledge she has a problem
(B) A woman though told her father has metastic cancer, continues to plan a family reunion 18 months away.

Front 5

Catecholamines: Dobutamine: Applications

Back 5

-Shock
-Heart failure cardiac stress testing

Inotropic but not chronotropic

Front 6

DISPLACEMENT

Back 6

(A) A husband and wife are fighting, and the husband becomes so angry he hits a door instead of his wife.
(B) A child is mad at her mother for leaving for the day, but says she is really mad at the sitter for serving her food she does not like.

Front 7

IDENTIFICATION

Back 7

Helps a person avoid self-devaluation; attempt to increase self-worth by acquiring certain attributes of an individual one admires.

Front 8

IDENTIFICATION

Back 8

(A) A student nurse imitates the nurturing behavior she observes on of her instructors using with clients.
(B) A teenager who required lengthy rehabilitation after an accident decides to become a physical therapist.

Front 9

INTELLECTUALIZATION

Back 9

Helps protect a person from pain and traumatic events; attempt to avoid expressing actual emotions associated with a stressful situation by using logic, reasoning, and analysis.

Front 10

INTELLECTUALIZATION

Back 10

(A) A man whose brother is in ICU spends his time speaking to the nursing about his condition and treatment plan instead of visiting with his brother.
(B) A college professors fiancee breaks off the engagement. He shows no remorse, but instead tries to analyze the situation and figure out why she broke off the engagement.

Front 11

INTROJECTION

Back 11

Internalization of the beliefs and values of another individual such that they symbolically become a part of the self to the extent that the felling of separeteness or distinctness is lost.

Front 12

INTROJECTION

Back 12

(A) A 7 year old tells his little sister "dont talk to strangers". He has introjected a value from the instructions of parents and teachers.
(B) A psychiatric client claims to be the Son of God, drapes himself in a sheet and blanket, performs miracles on other clients and refuses to respond unless addressed as Jesus.

Front 13

ISOLATION

Back 13

Separating a thought or memory from the feeling tone or emotion associated with it

Front 14

ISOLATION

Back 14

(a) Without showing any emotion, a young woman describes being attacked and raped.

Front 15

MINIMIZATION

Back 15

Allows a person to decrease responsibility for own behavior; not acknowledging the significance of one’s own behavior

Front 16

MINIMIZATION

Back 16

(a) A person says “don’t believe everything my wife tells you. I wasn’t so drunk that I couldn’t drive.”
(b) A person says “I didn’t try to kill myself; I just took some pills because my head hurt.”

Front 17

PROJECTION

Back 17

Allows a person to deny the existence of shortcomings and mistakes; protects self image

Front 18

PROJECTION

Back 18

(a) A mother is told that her child must repeat a grade in school and she blames this on the teacher’s poor instruction.
(b) A husband forgets to pay a bill and blames his wife for not giving to him earlier

Front 19

RATIONALIZATION

Back 19

Helps a person cope with the inability to meet goals or certain Standards; attempting to make excuses to formulate logical reasons to justify unacceptable feelings or behaviors

Front 20

RATIONALIZATION

Back 20

(a) A mother spanks her toddler too hard and says it was all right because he couldn’t feel it through the diapers anyway
(b) A man is rejected by his girlfriend, but explains to his friends that her leaving was best because she was beneath him socially and would not be liked by his family

Front 21

REACTION FORMATION

Back 21

Aids in reinforcing repression by allowing feelings to be acted out in a more acceptable way; substituting behavior that is diametrically opposed to one’s own unacceptable thoughts or feelings

Front 22

REACTION FORMATION

Back 22

(a) A wife finds out about her husband’s extramarital affairs and tells her friends that she thinks his affairs are perfectly appropriate
(b) An executive resents his boss for calling in a consulting firm to make recommendations for change in his department but verbalizes complete support of the idea and is exceedingly polite and cooperative

Front 23

REGRESSION

Back 23

Allows a person to return to a point in development when nurturing and dependency were needed and accepted with comfort

Front 24

REGRESSION

Back 24

(a) An adult throws a temper tantrum when he does not get his way
(b) A critically ill patient allows the nurse to bathe and feed him

Front 25

REPRESSION

Back 25

Protects a person from a traumatic experience until he/she has the resources to cope; an unconscious mechanism by which threatening thoughts, feelings, and desires are kept from becoming conscious

Front 26

REPRESSION

Back 26

(a) A teenager, seeing his best friend killed in a car accident, becomes amnesic about the circumstances surrounding the accident
(b) A woman does not remember the experience of being raped in the basement, but does feel anxious when going into that house

Front 27

SUBLIMATION

Back 27

Protects a person from behaving in an irrational, impulsive way; displacement of energy associated with primitive sexual or aggressive or anger drives into socially acceptable activities

Front 28

SUBLIMATION

Back 28

(a) A person with excessive, primitive sexual drives invests psychic energy into a well-defined religious value system
(b) A teenager with strong competitive and aggressive drives becomes the star football player on his high school teem

Front 29

SUPPRESSION

Back 29

The voluntary blocking of unpleasant feelings and experiences From one’s awareness

Front 30

SUPPRESSION

Back 30

(a) Scarlett O’Hara says, “I don’t want to think about that now. I’ll think about that tomorrow.”

Front 31

SUBSTITUTION

Back 31

Helps a person achieve goals and minimizes frustration and Disappointment

Front 32

SUBSTITUTION

Back 32

(a) A woman wants to marry a man exactly like her dead father and settles for someone who looks a bit like him.

Front 33

UNDOING

Back 33

Allows a person to appease guilty feelings and atone for mistakes

Front 34

UNDOING

Back 34

(a) A father spanks his child and the next evening brings home a present for him.
(b) A teacher writes an easy examination, and then constructs a grading curve that makes it difficult to earn a high grade.

Front 35

What is mental illness?

Back 35

Maladaptive responses to stressors from the internal or external environment, evidenced by thoughts, feelings and behaviors that are incongruent with the local and cultural norms, and interfere with the individual’s social, occupational, and/or physical functioning

Front 36

What is mental health?

Back 36

The successful adaptation to stressors from the internal or external environment, evidenced by thoughts, feelings, and behaviors that are age appropriate and congruent with local and cultural norms

Front 37

GENERAL ADAPTATION SYNDROME
1. In alarm reaction stage what is initiated?
2. In stage of resistance __ __ __ happens, and if it occurs then adaptation occurs and if it doesnt then you go to next stage.
3. In stage of exhaustion, the longer it last the more likely what will occur?

Back 37

1. physiological response
2. ego defense mechanism
3. death can occur

Front 38

RESPONSES TO STRESS (ANXIETY)
1. Mild-is it good? what does it help us do?
2. Moderate-what diminishes?
3. Severe-perceptual field is diminished and can only concentrate on?
4. Panic-is the most intense

Back 38

1. yes, it motivates us
2. perceptual field
3. one thing
4. yes

Front 39

MILD ANXIETY
1. What are some normal things that occur during this type?
2. You can __, __, and __ info readily.
3. Are you motivated to learn?

Back 39

1. Sleeping,crying, pacing, cursing, drinking, smoking, foot swinging, fidgetting, nail biting, finger tapping, talkative
2. see, hear and grasp
3. yes

Front 40

MILD TO MODERATE ANXIETY
1. The ego defense mechanisms are used consciously or unconsciously as a ?
2. Focus on the __ concerns w/ a __ perceptual field
3. They block out things and may need to give what?

Back 40

1. protective device for the ego to relieve mild to moderate anxiety.
2. immediate, narrow
3. direct instructions

Front 41

MODERATE TO SEVERE ANXIETY
1. At this level anxiety that remains unresolved over an extended period can contribute to ?
2. What can you physically feel at this level?

Back 41

1. physiological disorders
2. migraine HA, ulcers, stiff neck

Front 42

SEVERE ANXIETY
1. What can extended periods of severe anxiety result in?
2. They can only focus on __ specific detail.
3. The behavior is directed toward relieving what?
4. You need to ___ them and help them focus on something else.

Back 42

1. psychoneurotic patterns of behaving
2. one
3. anxiety
4. redirect

Front 43

NEUROSES
1. what is it?

Back 43

1. psychiatric disturbances characterized by excessive anxiety that is expressed directly or altered through defense mechanisms.

Front 44

1. What are some common characteristics of peope with neuroses?

Back 44

1. They are aware they are experiencing stress
2.They are aware their behaviors are maladaptive
3.They feel helpless to change their situation
4. The experience no loss of contact with reality

Front 45

SEVERE ANXIETY
1. What are examples of anxiety disorders?
2. Somatoform disorders?
3. Dissociative disorders?

Back 45

1. phobias, OCD, panic disorders, GAD, PTSD
2. hypochondriasis, conversion disorder, somatization disorder, pain disorder
3. amnesia, fugue, DID, depersonalization disorder

Front 46

PANIC ANXIETY
1. At this level an individual is not capable of processing what is happening in the environment and may lose _ w/ the environment.
2. Loss of __ thought.
3. Decrease or Increase in motor activity?
4. Can they do things w/ direction?

Back 46

1. contact
2. rational
3. decrease
4. no

Front 47

PSYCHOSES-PANIC ANXIETY
1. What are some common characteristics?
2. What are some forms of psychoses?

Back 47

1. They exhibit minimal distress (emotional tone is flat)
2. They are unaware that behavior is maladaptive
3. They are unaware of any psychological problems
4. They are exhibiting a flight from reality in to a less stressful world
2. schizophrenia, schizoaffective, and delusional disorders

Front 48

1. What are the 5 stages of grief?
2. What is anticipatory grief?
3. In the delayed maladaptive response you are fixed in what stage w/ no emotions?
4. In the distorted maladaptive response what stage are you fixed in? Can you perform ADL's?

Back 48

1. Denial, anger, bargaining, depression, and acceptance
2. grief before it actually occurs
3. denial
4. anger, no

Front 49

AXIS I
1. Includes all mental disorders except? examples?

Back 49

1. personality disorders and mental retardation; major depressive disorder and schizophrenia

Front 50

AXIS II
1. These disorders usually begin in __ or __ and persist in a stable form into adult life.
2. example?
3. Axis I and II constitute the classification of __ behavior.

Back 50

1. childhood or adolescent
2. Dependent person
3. abnormal

Front 51

AXIS III
1. Includes any current general _ condition that is potentially relevant to the management of the mental disorder.
2. example?

Back 51

1. medical
2. diabetes

Front 52

AXIS IV
1. ___ and environmental problems
2. These are problems that may affect the __, __, and __ of the mental disorders named on axes I and II.
2. examples?

Back 52

1. psychosocial
2. diagnoses, treatment, and prognosis
3. divorced 3 mths ago

Front 53

AXIS V (Global Assessment of Functioning)
1. Gives an indication of the person's best level of psychological, social, and occupational functioning during? Rated on a scale of ?
2. w/ 1 being __ to self or others, and 100 being __ functioning.

Back 53

1. the preceding year, 1 - 100
2. danger, superior