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Therapeutic Communication
Chapter 4
19
Nursing
Professional
01/28/2012

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Term
Primary Gain
Definition
The psychological advantage that an illness itself creates.
Term
Secondary Gain
Definition
The consequence of the illness that has a bonus aspect for the patient.
Term
Somatoform Disorder
Definition
Physical symptoms substituted for psychological disease. (ex. chronic pain syndrome, hysterical paralysis, and hypochondriasis)
Term
Factitious Disorder
Definition
made up symptoms that allow the patient to assume a sick role without material gain in mind.
Term
What is the diagnostic and statistical manual of mental disorders called?
(manual in which mental disorders are classified in 5 different "axes")
Definition
DSM-IV-TR
(TR- means text revision)
Term
The following are examples of what?
change of job, pregnancy, new mortgage, death of a loved one?
Definition
Psychosocial stressors
Term
Agoraphobia, social phobia, obsessive compulsive are examples of what type of disorder?
Definition
Anxiety Disorder
Term
Split Personality is what type of disorder?
Definition
Dissociative
Term
Sickness role
Definition
adaptive regression of a significantly ill patient in order to accept treatment
(alters role to become a patient by becoming dependent instead of independent)
Term
Adaptive regression
Definition
ability to take on the child role when ill as a patient.
Term
Distant relative syndrome
Definition
A syndrome in which distant relative visits create a whirlwind of criticism about a previously stable patient's care because he/she does not understand the magnitude of the illness/deficit.
Term
Lonely immigrant syndrome
Definition
A syndrome in which an immigrant substitutes medical care for a lack of socialization.
Term
Cartesian dualism
Definition
The body and mind are two separate though parallel entities...the body is physical and the mind is non physical.
Term
What is "symptom on the plate"
Definition
a patient alters their true symptoms because they are emarrased or afraid of rejection.
(ex. I have a toothache is my complaint but in reality I know that I grind my teeth due to anxiety)
Term
Type A
Definition
personality with time urgency and striving for perfection.
Term
Type B
Definition
personality that is non-competitive, not bothered by lateness, accepting of all types of behavior.
Term
A patient that does not tolerate the dependent role and often switches doctors and therapists. A patient who want full control of their care and does so by withholding information to doctors.
Definition
Manipulative patient
Term
Primary relationship
Definition
The closest person with whom a patient presently chooses or is forced to relate.
Term
Illness behavior
Definition
ways different people respond when suffering the same symptoms.
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