Mental Health Terminology Flashcards
Transference of feelings from one target to another that is considered less threatening or neutral
Displacement
Symbolic negation or cancellation of a previous action or experience that one finds intolerable
Undoing
Separating a thought or a memory from the feeling, tone, or emotions associated with it
Isolation
Refusal to acknowledge the existence of a real situation or the feelings associated with it
Denial
Internalization of the beliefs and values of another individual, which symbolically become a part of the self, to the extent that the feeling of separateness or distinctness is lost
Introjection
An attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires
Identification
A retreat to an earlier level of development and the comfort measures associated with that level of functioning
Regression
The act of covering up a real or perceived weakness by emphasizing a trait one considers more desirable
Compensation
The involuntary blockage of unpleasant feelings and experiences from one’s awareness
Repression
The attribution to another person of feelings or impulses that are unacceptable to one’s self
Projection
The voluntary blockage of unpleasant feelings and experiences from one’s awareness
Suppression
The attempt to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors
Rationalization
“I never want to see you again!”
Grief
Anger
“Cancer. It can’t be! You must have made a mistake!”
Grief
Denial
“At last I feel at peace with myself.”
Grief
Acceptance
“I’ll go to church every Sunday if I can
just live until my daughter grows up.”
(Grief)
Bargaining
“I wish I had been a better mother.”
Grief
Depression
“Why me? I don’t deserve this!”
Grief
Anger
“I’m feeling much better today. I think I should get a second opinion.”
(Grief)
Denial
“I feel as though I’m betraying my family.
They depend on me so.”
(Grief)
Depression
“If God will only let me live until Christmas.
I swear I won’t ask for another thing.”
(Grief)
Bargaining
“My family is ready, and so I can rest easy
now.”
(Grief)
Acceptance
Nurse Jones does not approve of Pam’s gay lifestyle but accepts her unconditionally nonetheless
(Therapeutic Relationship)
Respect
Nurse Jones and Pam develop an immediate mutual regard for each other
(Therapeutic Relationship)
Rapport
Pam knows that Nurse Jones is always honest with her and will tell her the truth, even if it is sometimes painful.
(Therapeutic Relationship)
Genuineness
Pam knows that Nurse Jones will not tell anyone else about what they discuss in therapy.
(Therapeutic Relationship)
Trust
When Pam talks about her problems, Nurse Jones listens objectively and encourages Pam to reflect on her feelings about the situation.
(Therapeutic Relationship)
Empathy
Pam and Nurse Jones set goals for their time together
Phases of Relationship Development
Orientation (introductory) phase
Nurse Jones reads Pam’s previous medical records.
Phases of Relationship Development
Preinteraction phase
Having identified Pam’s problem, they discuss aspects for possible change and ways to accomplish them.
(Phases of Relationship Development)
Working phase
They establish a mutual contract for intervention
Phases of Relationship Development
Orientation (introductory) phase
The established goals have been met.
Phases of Relationship Development
Termination phase
Nurse Jones explores her feelings about working with a gay person.
(Phases of Relationship Development)
Preinteraction phase
Pam weighs the benefits and consequences of various alternatives for change
(Phases of Relationship Development)
Working phase
Pam and Nurse Jones discuss a plan of action for Pam to employ in the advent of stressful situations following therapy.
(Phases of Relationship Development)
Termination phase
Pam cries and says she cannot stop coming to therapy
Phases of Relationship Development
Termination phase
Nurse Jones gives Pam positive feedback for attempting to make adaptive changes in her life.
(Phases of Relationship Development)
Working phase
Ct: “The FBI wants to kill me.”
Ns: “I find that hard to believe.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Voicing doubt (T)
Ns Asst: “Mr. J. always calls me sweetie pie.
I get so angry when he does that.”
Ns: “Perhaps you should consider how he is feeling.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Belittling feelings (N)
Ct: “My daddy always tucked me into bed at night.”
Ns: “I’d like to talk more about your relationship with
your father.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Focusing (T)
Ns to Ct: “Good morning, Sue. I see you are
wearing the hair bow you made in OT.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Giving recognition (T)
Ct: “I didn’t really mean it when I said I wanted to die.”
Ns: “What makes you say those kinds of things?”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Indicating an external source of power (N)
Ct: “Do you think I should get a divorce?”
Ns: “What do you think would be best for you?”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Reflecting (T)
Ct: “Whenever I ask for a different therapy, my doctor just ignores me!”
Ns: “I’m sure he knows what’s best for you.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Defending (N)
Ct: “We always had such fun on holidays when I was growing up.”
Ns: “Tell me more about what it was like when you were a little girl.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Exploring (T)
Ct: (Mute. Refusing to talk.)
Ns: “It must have been a horrible experience for you being the only survivor of the automobile accident.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Verbalizing the implied (T)
Ct: “I don’t think my life will ever be the same again.”
Ns: “Cheer up. Everything’s going to be okay.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Giving reassurance (N)
Ct: “I feel like such a failure in the eyes of my family.”
Ns: “You feel as though you have let your family down.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Restating (T)
Ct: “Do you think I should leave home and get an apartment of my own?”
Ns: “I think you would be much better off away from your parents.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Giving advice (N)
Ct: “Good morning, Nurse.” Ns: “Good morning, Patricia. What would you like to talk about today?”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Giving broad openings (T)
Ct: “I’d like to talk about my relationship with my boyfriend, Jack.”
Ns: “Oh, let’s don’t talk about that. You talk about
that too much.”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Rejecting (N)
Ct: “I want to call my husband.”
Ns: “Why do you want to talk to him after the way
he treated you?”
(Interpersonal Communication Techniques + Therapeutic or Nontherapeutic)
Requesting an explanation (N)
Accompanies clients to see a movie.
The Interdisciplinary Team
Recreational therapist
Helps clients identify unconscious feelings through their drawings.
(The Interdisciplinary Team)
Art therapist
Conducts psychological testing to help the psychiatrist determine a correct diagnosis
(The Interdisciplinary Team)
Clinical psychologist
Serves the spiritual needs of psychiatric clients.
The Interdisciplinary Team
Chaplain
Monitors nutritional needs for client with special requirements
(The Interdisciplinary Team)
Dietitian
Teaches relaxation techniques through the use of music.
The Interdisciplinary Team
Music therapist
Conducts assertiveness training
The Interdisciplinary Team
Clinical nurse specialist
Prescribes electroconvulsive therapy for a depressed client.
The Interdisciplinary Team
Psychiatrist
Administers medication.
The Interdisciplinary Team
Psychiatric staff nurse
Locates appropriate placement for the client following hospital discharge.
(The Interdisciplinary Team)
Psychiatric social worker
Assists clients to increase self-esteem by providing small craft items for completion and display.
(The Interdisciplinary Team)
Occupational therapist
Assists a group of clients to perform in a safe environment, a situation that otherwise would be too painful in real life.
(The Interdisciplinary Team)
Psychodramatist
Works 1:1 with clients and assists the psychiatric nurse in running the day-to-day activities of the milieu unit.
(The Interdisciplinary Team)
Mental health technician
John came into the TV room and changed the channel in the middle of a program that several others were watching. The group reprimanded him loudly and returned the TV to the channel they had been watching. They told him they would not tolerate that kind of behavior.
(The Seven Basic Assumptions of a Therapeutic Community)
Peer pressure is a useful and powerful tool
Even though she seemed unable to change, Nancy had a great deal of insight into her own behavior. She knew it was maladaptive, and she knew it had psychological implications. The nurse focused on Nancy’s insight and knowledge to help her find more adaptive ways of coping.
(The Seven Basic Assumptions of a Therapeutic Community)
The state of health in each individual is to be realized and encouraged to improve.
George always started an argument in group therapy. Each time, the group calmed him down with their discussion. However, when he became violent, he was placed in isolation for his safety and that of others.
(The Seven Basic Assumptions of a Therapeutic Community)
Restrictions and punishment are to be avoided
Fred becomes angry whenever anyone in the group disagrees with him. Members of the group examine Fred’s defensiveness and help him to see how he is coming across to others. They help him to practice more appropriate ways of responding.
(The Seven Basic Assumptions of a Therapeutic Community)
Inappropriate behavior is dealt with as it occurs
Lloyd had always been unable to interact on a personal level with other people. In the milieu environment, he learned new communication skills and had the opportunity to practice relationship development that helped him when he left the hospital.
(The Seven Basic Assumptions of a Therapeutic Community)
Every interaction is an opportunity for therapeutic intervention
Kevin told the nurse of being arrested for driving the getaway car in an armed robbery. He said, “I don’t know why they grabbed me. Jack did the stealing! He made me drive the car.” The nurse responded, “Kevin, no one made you drive the car. You made that choice yourself. Now you must own up to that decision.”
(The Seven Basic Assumptions of a Therapeutic Community)
Each client owns his/her own behavior
Carol was elected unit president at the community meeting. She assigns chores for the week and calls for a vote to decide on punishment concerning late privileges for clients on Saturday night.
(The Seven Basic Assumptions of a Therapeutic Community)
The client owns his/her own environment.
