Theoretical Basis of Care

Question 1

Biopsychosocial framework of care

Answer 1

a holistic approach that considers biological, psychological, and social factors to understand a patient’s health and illness

Question 2

The single most important goal in the transformation of mental health care in the past 2 decades

Answer 2

recovery

Question 3

4 major dimensions of recovery

Answer 3

health
home
purpose
community

Question 4

Erikson’s stages of human development

Answer 4

stages by development and age and developmental task with indications showing mastery or failure

Question 5

Erikson Infancy

Answer 5

0-1
Trust vs Mistrust

Question 6

Trust vs Mistrust

Answer 6

Erikson, infancy, 0-1

Mastery is ability to form meaningful relationships, hope about the future, trust in others

Failure is poor relationships, lack of hope, suspicion of others

Question 7

Erikson Early Childhood

Answer 7

1-3yo
Autonomy vs shame and doubt

Question 8

Autonomy vs shame and doubt

Answer 8

Erikson, early childhood, 1-3yo

Mastery is self control, self esteem, will power

Failure is lack self control, self esteem and independence

Question 9

Erikson Late childhood

Answer 9

3-6yo
Initiative vs guilt

Question 10

initiative vs Guilt

Answer 10

3-6yo
Late childhood

mastery is self directed behavior, goal formation, sense of purpose

Failure is opposite

Question 11

Erikson School age

Answer 11

6-12yo
Industry vs inferiority

Question 11

industry vs Inferiority

Answer 11

Erikson, school age, 6-12yo

Mastery is ability to work, sense of competency and achievement

Failure is sense of inferiority, difficulty with working, learning

Question 12

Erikson Adolescence

Answer 12

12-20yo
Identity vs role confusion

Question 13

Identity vs role confusion

Answer 13

Erikson adolescence 12-20

mastery is personal sense of identity

Failure is identity confusion, poor self identification in group settings

Question 14

Erikson Early Adulthood

Answer 14

20-35yo
Intimacy vs Isolation

Question 15

intimacy vs Isolation

Answer 15

Erikson early adulthood 20-35yo

Mastery is committed relationships, capacity to love

Failure is emotional isolation and egocentrism

Question 16

Erikson Middle Adulthood

Answer 16

35-65yo
Generativity vs self absorption or stagnation

Question 17

Generativity vs self absorption or stagnation

Answer 17

Erikson Middle Adulthood 35-65yo

mastery is ability to give time and talents to others, ability to care for others

Failure is self absorption, inability to grow and change as a person, inability to care for others

Question 18

Erikson Late Adulthood

Answer 18

> 65yo
Integrity vs Despair

Question 19

Integrity vs Despair

Answer 19

Erikson late adulthood >65yo

mastery is fulfillment and comfort with life, willingness to face death, insight and balanced perspective on lifes events

Failure is bitterness , sense of dissatisfaction with life, despair over impending death

Question 20

psychodynamic (psychoanalytic) theory historically

Answer 20

Freud

focus on concepts of intrapsychic conflict among the structures of the mind

started with explaining neuroses and anxiety but later expanded to include normal and abnormal development

Question 21

basic tenets of psychodynamic theory

Answer 21

assumes all behavior is with purpose and meaning

psychic determinism (even whats meaningless is motivated by unconscious)

most mental activity is unconscious

childhood experience shapes adult personality

Instincts, urges, fantasies function as drives that motivate thoughts, feelings, and behaviors

Question 22

typical onset os intellectual disability

Answer 22

infancy

Question 23

3 primary psychic structures that make up the mind and personality and are responsible for mental functioning

Answer 23

Id, Ego, Superego

Question 24

Id

Answer 24

primary drives or instincts, urges, or fantasies largely unconscious, sexual, or aggressive infantile in nature pleasure principle, immediate satisfaction "I want"

Question 25

Ego

Answer 25

external reality rational mind, logical and abstract thinking functions in adaptation mediates drive and envrionmental realities reality principle "I think, I evaluate"

Question 26

Superego

Answer 26

Is the Ego-ideal conscience, right vs wrong aspirations, ideals, moral values regulated by guilt and shame "I should or I ought"

Question 27

Cognitive theory

Answer 27

Piaget Human development evolves through cognition, learning and comprehending 4 stages of cognitive development Sensorimotor preoperational concrete operations formal operations

Question 28

4 stages of cognitive development according to Piaget

Answer 28

Sensorimotor 0-2- object permanence Preoperational 2-7- Language, symbolism, magical thinking concrete operations 7-12- logic, reversibility, conservation formal operations 12-adult- abstract thinking

Question 29

interpersonal theory

Answer 29

Harry Stack Sullivan behavior comes from interpersonal dynamics relationships and experiences influence personality development so understanding behavior requires understanding relationships in their life drives for behavior are satisfaction and security. Interfere with this and mental illness occurs.

Question 30

Hierarchy of needs

Answer 30

maslow Survival- water, air, food, sleep Safety love and belonging self esteem self actualization

Question 31

health belief model

Answer 31

Marshall Becker people dont take advantage of screening or prevention programs due to certain beliefs/perceptions

Question 32

transtheoretical model of change

Answer 32

precontemplation, contemplation, preparation, action, maintenance

Question 33

Motivational interviewing

Answer 33

focus, goal directed therapy builds on transtheoretical model of change

Question 34

self-efficacy and social learning theory

Answer 34

bandura behavior comes from of cognitive and environmental factors learn by observing others, relying on role modeling behavioral change and maintenance are functions of outcome expectations and efficacy expectations

Question 35

defense mechanisms

Answer 35

denial projection regression repression reaction formation rationalization undoing intellectualization suppression sublimination altruism

Question 36

repression vs suppression

Answer 36

repression is unconscious exclusion of unwanted and suppression is conscious

Question 37

reaction formation

Answer 37

overcompensation unacceptable feelings, thoughts, or behaviors are pushed from conscious awareness by displaying and acting on the opposite feeling, thought or behavior