Psychological Well Being

Question 1

Factors that affect the perception & the effects of stress and crisis

Answer 1

1. Severity—age,motivation,impairment of function, dependency
2. Anticipation of Incapacitation–(how long is rehab)
3. Past Experience in Coping with stress/crisis
4. Threat to personal systems–how much of life changes
5. Patient’s ego-strength–emotional stability

Question 2

Signs of Response to Stress

Answer 2

1. alarm (short term): fight or flight

2. resistance (long term)

Question 3

Personal Systems that affect a patient

Answer 3

• -Roles (what are their life responsibilities)
• -Physical-Perceptual (how a pt perceives themselves, perception of future, making adjustments)
• -Emotional Factors—Internal(personal coping)/External(support)
• -Financial/Economic
• -Beliefs (religious/cultural/etc)
• -Behavioral

Question 4

Definition of Illness

Answer 4

an active disease process

• -helpless
• -narrow focus
• -increased concern
• -constriction of goals

Question 5

Stress Definition

Answer 5

a disturbance of equilibrium, induced by over-arousal or under-arousal

Question 6

3 Components of Stress

Answer 6

1. Poses threat of bodily harm
2. disrupts motivated behavior
3. severity of stress determined by impact on the person as a whole

Question 7

Immediate response to stress depend on

Answer 7

1. Intensity of threat
2. type of situation in which threat occurs
3. personal variables affecting the person’s perception of the threat

Question 8

PTS v PTSD

Answer 8

PTSD: longer than 4 weeks

Question 9

Anxiety def and characteristics

Answer 9

a feeling state, somewhat like fear which has 3 important characteristics

1. normal fundamental response to stress
2. defense mechanism
3. accompanies coping and growth

Question 10

Exhaustion

Answer 10

someone has unsuccessfully dealt with stress–hopeless/depressed

Question 11

Universal Law of Rehabilitation: assisting chronically ill will be tempered by…

Answer 11

1. emotional response to the situation

2. acceptance and adaptation the the condition

Question 12

Crisis

Answer 12

overwhelming of an individual’s ability to cope, so that their response to stress in rendered inadequate (represents a turning point)

Question 13

4 stages of response to Crisis

Answer 13

pre-impact (approach/avoidance)
Impact phase—shock/encounter
post-impact phase: growth and resolution (retreat/ acknowledgement)

Question 14

Typical Response to Illness

Answer 14

1. Emotional response (psychological defense)

Question 15

Defense Mechanisms

Answer 15

Denial
Compensation
Disassociation
Fantasy
Regression
Repression
Suppression
Displacement 
Intellectualization
Absolution
Atonement or penance 
Devaluation
Isolation
Withdrawal

Question 16

Devaluation and Spread Definition

Answer 16

an attribute held by others, as well as by the disabled person himself/herself, of lowered self-esteem

Spread: once devalued the patient and or others begin to view the patient as being more severly disabled than he or she really is

Question 17

Circular Process of emotional arousal and illness

Answer 17

illness—-increased somatic preoccupation—inc sensitivity to pain—increased emotional arousal (also decreased learning—decreased improvement & response)

Question 18

Behavioral Responses to Illness

Answer 18

depression
anger
hysteria
withdrawal
goal-directed behavior

Question 19

Psycho physiologic disorders

Answer 19

• –involve organ systems over which the patient has little voluntary control
• –usually a result high/intense stress or prolonged stress

Question 20

Psychological factors and resulting physical illness

Answer 20

Skin reaction
Musculoskeletal reaction
Respiratory reaction
cardiovascular reaction
hemic/lymphatic
gastrointestinal reaction
genitourinary reaction
endocrine reaction
organs of special sense
disorders of other types

Question 21

Phantom Perception

Answer 21

feeling sensations from a missing body part (43% of limb aputees)

Question 22

Anosogosia

Answer 22

denial of illness

Question 23

Body Distortions in Psychological Disorders

Answer 23

Things like conversion or dissociation