Sean hood lectures Flashcards
kubler-ross model is commonly known as
the five stages of grief
the 5 stages of grief is called
the kubler-ross model
what are the 5 stages of grief
denial - temporary defence for the individual
anger - any individual that symbolises life or energy is subject to projected resentment and jealousy
bargaining - hope that the individual can postpone or delay the problem.
depression - silent, refusing visitors, spending much time crying and grieving. It is not recommended to attempt to cheer up a person in this stage, as it is important time for grieving and processing.
acceptance - individual comes to terms with the event
telephone psychiatric referral structure is used when
calling a psychiatrist to refer a patient
general heading of structure of telephone psychiatric referral
greeting
clarify relevance of consult
clarify intent of the call
headline summary
pause
meta formulation / synopsis
restate purpose of referral
what are defences?
automatic psychological processes that protect the individual against anxiety and from awareness of internal or external dangers or stressors
4 levels of defence mechanisms in Valliant’s classification
- Psychotic (<5 years, adult dreams and fantasy)
- Immature (3-15 years, PD, adult psychotherapy)
- Neurotic (3-90 years, acute stress, neurotic dis.)
- Mature (12-90 years)
4 mature level defences
suppression
altruism
sublimation
humour
suppression
emotions remains conscious but is suppressed
altruism
suppressing the emotion by doing something nice for others
sublimation
transmuting the emotion into a productive and socially redeeming endeavour
eg. ill start writing a book about how to cope with rejection
humour
expressing the emotion in an indirect and humorous way
5 defences on the neurotic level
denial (of internal reality)
repression
reaction formation
displacement
rationalisation
denial (of internal reality)
denying that emotion exists
eg. ‘the rejection doesn’t bother me at all’
repression
stuffing the emotion out of conscious awareness (unfortunately, the emotion typically returns to haunt the oppressor in unpredictable ways)
reaction formation
forgetting the negative emotion by transforming it into it’s opposite
eg. ‘we’ve become so close since he cheated on me, he really is a wonderful person’
displacement
displacing the emotion from its original object to something or someone else
eg. my boss really has been getting under my skin lately
rationalisation
inventing a convincing, but usually false, reason why you are not bothered
6 immature level defence mechanisms
passive aggression
acting out
dissociation
projection
splitting (idealisation/devaluation)
(Autistic) fantasy
passive aggression
expressing anger indirectly and passively
acting out
expression the emotion in actions rather than keeping it in awareness
dissociation
dissociating instead of feeling the pain