Psych terms Flashcards
mental health
the ability to engage in productive activities, enjoy fulfilling relationships, and cope and change w/ adversity or stress. ***stress and adversity are a normal part of the human experience - question is how do we deal w/ it.
mental illness
variety of symptoms over time, those symptoms cause significant stress or disability. the disability is referred to as impairment of functioning
Erikson - trust v. mistrust (and age)
1- (age 0 - 1 1/2) learn early on that your parents will feed you and take care of you. you learn trust.
Erikson - autonomy v. shame/doubt (and age) (potty training shame)
2- potty training. sense of control over environment. 1 1/2 to 3 yrs old.
Erikson - initiative v. guilt
3- preschool (3 - 6). ability to initiate activities. help mom with cookies.
erikson Industry vs. inferiority (inferiority is elementary)
4- elementary (age 6-12) ability to work vs. too dumb to learn anything.
Erikson - Intimacy vs. isolation
- 20-35. young adults. person to form intense long term relationships and commit to person or cause. schizo usually strikes during this stage. if ppl can’t recover, can get stuck in this stage and never get a partner or cause.
erikson - Generativity vs. stagnation
- middle adult. 40-65. achieving life goals, how to give back to world. concern and awareness for future generations - parents, caregivers, jobs.
erikson - Ego integrity vs. despair
65 and over. thinking about retiring, looking back on life. how do I feel about my life. may have regrets, or may feel good about it.
ego defense mechanisms (conscious or subconscious)
according to freud, they are used to support the ego. used to avoid psychological discomfort. most are used subconsciously. all ppl use defense mechanisms. sometimes they are protective, they aren’t always bad.
Repression (dont need to memorize)
exclusion of unpleasant emotions from conscious awareness. this is an unconscious defense mechanism. can use pscyadellics to help with this. according to freud you have to deal w/ it to not let it have control over you.
denial (dont need to memorize) (who does this the most? You know.) and what about schizo?
escaping from unpleasant realties by ignoring their existence. one of the most common used by ppl with mental illness***addictive disorders. or may minimize it. schzio, anorexia, don’t see that they have a problem. schizo - they live in a fantasy world.they believe the world is real. they get defensive if you tell them it’s not real - this is a form of denial. denial can be used in a healthy way - person who comes to er and loved one in ER, and son dies, person says you have the wrong person. this is considered 1st stage of grief. gives us time to take it in.
rationalization (dont memorize)
justifying illogical or unpleasant ideas with a socially acceptable explanation. form of self deception. its very common. no one reports all of their tips.
projection (dont memorize)
refusing to recognize behavior or feelings in one’s self and instead seeing it in someone else. used by patients who are paranoid or aggressive.d
displacement (dont memorize) (did you displace your keys again?)
to take out pent up feelings on a less threatening source. usually anger, frustration. ex. - woman gets yelled at at work, takes it out on her kids. then the kids kick the cat. ex - elder or child abuse.
reaction formation (dont memorize) (bipolars react)
also called overcompensation, unacceptable behaviors are kept out of awareness by developing the opposite behaviors. ex - move into new house, and neighbor’s dog poops on your lawn, and youre angry. instead of yelling, you bring cookies to neighbor. you see it in bipolar disorder who are manic. sometimes comes from insecurity during a manic phase.
Intellectualization (dont memorize)
overusing abstract intellilectual thinking to minimize or avoid painful feelings. used all of the time. ex - man said son has schizo, talking about meds in detail, didn’t talk about his feelings at all.
undoing (dont memorize) (undo my OCD)
atonement for unacceptable wishes or actions. common with OCD. trying to undo thoughts about germs by washing their hands.
compensation (dont memorize) (the paraplegic compensates)
not as common on tests - counterbalance for deficiencies by excelling in another area. this is a more healthy defense mechanism. ex. person becomes paraplegaic, so they learn how to play chess and become champion.s
sublimation (dont memorize) (he is sublime)
modification of instinctual but socially unacceptable impulse into something constructive. it is usually sexual or aggressive. ex. - instead of getting into fights, they play rugby or boxer. woman who has sexual urges become a dancer or sculptor.
regression (common with who?)
a person is returning to earlier stage of life to deal with anxiety. usually unconscious. really common. woman finally having surgery to take care of breast cancer. day of surgery, she is flipping out acting like a 3 yr old. common with borderline disorder. - have fear of abdonment, manipulative, self injury, mood swings, may have a teddy bear.
suppression (dont memorize) better than what?
conscious denial of a distrubing feeling. this is too much, I can’t deal with it, but I won’t forget about it. healthier than repression.
altruism (dont memorize) - and what if it’s excessive? (you’ve got mad altruism)
concern for another person. if excessive or avoidant, co-dependance. ex - MAD organization.
splitting (Idealization and Devaluation) (dont memorize)
combo of Idealization and Devaluation. uses both. Idealization - unconsciously perceiving belief that someone has exaggerated positive qualities. devaluation is the opposite. black and white thinking. also called dichotomous thinking. this results in staff splitting. common w/ personality disorders.
Maslow’s hierarchy (PS LES is maslow)
Physiological
Safety
Love/belonging
Esteem/Self-esteem
Self-actualization
Voluntary
10 - 40% admitted voluntarily. if they come in voluntarily, and they are found to be suicidal, they can be kept involuntarily.
Involuntary
more involuntary. if they are brought in involuntarily, they may decide to stay volunarily.
3 reasons you can be put on 5150
3 reasons you can be put on hold: danger to self, others, or gravely disabled (in Ca, unable to provide food, clothing, and shelter for themselves)
Riese (riese the meds)
ype of hearing, when a pt doesn’t want to take meds, but treatment team thinks they can’t make decisions. agnosignosia - don’t realize they need help. they are only forced to take psych meds, not all other meds, ie metformin. if they refuse meds PO, the will have to take IM.
