Psychological Well Being Flashcards
Factors that affect the perception & the effects of stress and crisis
- Severity—age,motivation,impairment of function, dependency
- Anticipation of Incapacitation–(how long is rehab)
- Past Experience in Coping with stress/crisis
- Threat to personal systems–how much of life changes
- Patient’s ego-strength–emotional stability
Signs of Response to Stress
- alarm (short term): fight or flight
2. resistance (long term)
Personal Systems that affect a patient
- -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
Definition of Illness
an active disease process
- -helpless
- -narrow focus
- -increased concern
- -constriction of goals
Stress Definition
a disturbance of equilibrium, induced by over-arousal or under-arousal
3 Components of Stress
- Poses threat of bodily harm
- disrupts motivated behavior
- severity of stress determined by impact on the person as a whole
Immediate response to stress depend on
- Intensity of threat
- type of situation in which threat occurs
- personal variables affecting the person’s perception of the threat
PTS v PTSD
PTSD: longer than 4 weeks
Anxiety def and characteristics
a feeling state, somewhat like fear which has 3 important characteristics
- normal fundamental response to stress
- defense mechanism
- accompanies coping and growth
Exhaustion
someone has unsuccessfully dealt with stress–hopeless/depressed
Universal Law of Rehabilitation: assisting chronically ill will be tempered by…
- emotional response to the situation
2. acceptance and adaptation the the condition
Crisis
overwhelming of an individual’s ability to cope, so that their response to stress in rendered inadequate (represents a turning point)
4 stages of response to Crisis
pre-impact (approach/avoidance)
Impact phase—shock/encounter
post-impact phase: growth and resolution (retreat/ acknowledgement)
Typical Response to Illness
- Emotional response (psychological defense)
Defense Mechanisms
Denial Compensation Disassociation Fantasy Regression Repression Suppression Displacement Intellectualization Absolution Atonement or penance Devaluation Isolation Withdrawal
Devaluation and Spread Definition
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
Circular Process of emotional arousal and illness
illness—-increased somatic preoccupation—inc sensitivity to pain—increased emotional arousal (also decreased learning—decreased improvement & response)
Behavioral Responses to Illness
depression anger hysteria withdrawal goal-directed behavior
Psycho physiologic disorders
- –involve organ systems over which the patient has little voluntary control
- –usually a result high/intense stress or prolonged stress
Psychological factors and resulting physical illness
Skin reaction Musculoskeletal reaction Respiratory reaction cardiovascular reaction hemic/lymphatic gastrointestinal reaction genitourinary reaction endocrine reaction organs of special sense disorders of other types
Phantom Perception
feeling sensations from a missing body part (43% of limb aputees)
Anosogosia
denial of illness
Body Distortions in Psychological Disorders
Things like conversion or dissociation
