Term
| Resource for families of mentally ill. |
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Definition
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Term
Symptom identification & management
Recovery planning skills
Stress management
Medication management
Social skills development
Assertiveness skills
Multiple family – teach disease process |
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Definition
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Term
| Menu planning, party planning |
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Definition
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Term
Less intense than psychotherapy
Focus on coping for pt & family |
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Implemented from a theoretic framework
Examine & resolve psychological & interpersonal issues within a safe group |
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Definition
| Psychotherapy groups - Advanced Practice |
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Term
| Members chosen for pre-selected criteria |
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Definition
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Term
| Share essential feature (i.e. same diagnosis but various ages, sex, etc. |
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Definition
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| Different ages, diagnoses etc |
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Definition
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| No new members added after group begins |
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Definition
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| Members and leaders change |
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Definition
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Term
| affects cohesiveness and trust |
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| Optimal length of session for lower-functioning |
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Definition
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| Higher functioning length of session |
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Definition
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Term
| The ability to influence the group and other members |
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Definition
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Term
| Standards of behavior in the group; influence communication and behavior. Standard patterns of interaction and behaviors expected within the group |
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Definition
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Term
| stated rules (confidentiality, everyone speaks, respect each other) |
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Definition
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Term
| unspoken rules, (ex. where each person sits, how much trust is given) |
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Definition
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Term
| How interactions occur, timing of interactions, roles of members, seating arrangements, tone of voice, nonverbal behavior |
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Definition
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Term
| What is said in the group |
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Definition
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Term
Listening
Tracking verbal and nonverbal interactions
Maintaining a neutral, nonjudgmental style
Not showing preference to one member over another
Providing everyone with an opportunity to contribute |
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Definition
| Leadership skills in MH groups |
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Term
| With this person you should acknowledge and redirect |
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Definition
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Term
| Try to move this person to another group, stay neutral, acknowledge contributions, discuss underlying issues, get assistance |
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Definition
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Term
| Respect this person's nature and the meaning of it. |
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Definition
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Term
ID the problem
Win-win expectations
ID what each wants
Brainstorming
Combine options into win-win expectations |
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Definition
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Term
Group development Honeymoon
Conflict |
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Definition
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Term
Develop rules, rituals, cohesion is a goal
Group accomplishes its purpose |
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Definition
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Term
Members grieve for loss of the group
Reestablish themselves as individuals |
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Definition
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Term
focused on group business (Read table 12.2)
Initiator, information seeker (clarifier), coordinator (spells out relationships between ideas), recorder (serves as group memory) |
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Definition
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Term
keeping group together
Harmonizer (mediator & tension reliever), compromiser (may admit error to avoid conflict), gatekeeper (keep flow of communication going) |
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Definition
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Term
may detract from or enhance group
Aggressor, playboy (lack of involvement), recognition seeker |
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Definition
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Term
| Which member is getting the most/least communication, seating arrangement |
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Definition
| Sociometric Analysis of Group COmmunication |
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Term
Tendency of groups to avoid conflict and adopt a normative pattern of thinking
Can lead to poor decision making because the group is more concerned about being part of the group, rather than thinking independently
Unclear whether cohesive groups are more likely to experience groupthink
Be aware of the possibility in decision making groups |
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Definition
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Term
| Children are not good at providing what aspect of assesment? |
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Definition
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Term
| _____ provide better info about internalizing Sx. |
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Definition
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Term
difficulty putting feelings into words, think concretely
Use play; colors, dolls, clothes, clay, house |
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Definition
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Term
: able to use logic, provide longer explanations
Establish rapport through competitive board games |
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Definition
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Term
can think abstractly
Let them know what information will be shared with parents; direct, candid approach |
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Definition
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Term
| _____ provide better info about externalizing Sx. |
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Definition
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Term
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Definition
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Term
| child less than 5 years old fails to initiate or respond to social interaction and parents start disregarding the child’s social/emotional needs |
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Definition
| Reactive attachment disorder |
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Term
| positive mood, regular patterns, positive approaches, low emotional intensity |
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Definition
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Term
| irregular patterns, negative responses to new stimuli, slow adaptation, negative mood and high emotional intensity |
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Definition
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Term
| negative, mildly emotional response to new situations, but adaptation evolves |
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Definition
| Slow-to-warm-up temperament |
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Term
| Matching up of parent/child temperament |
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Definition
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Term
| the ability to withstand stress in a healthy way through the use of inner and external resources |
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Definition
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Term
Using these things can help determine what?
3 wishes -Make up story ending -Pictures (5 year old female at right) -What they like or are good at, favorite subject in school |
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Definition
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Term
| If a child tells you they want to commit suicide or hurt others, what must you do with this information? |
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Definition
| Share it with the parents |
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Term
react more to others’ responses than to death, reassurance needed
Avoid euphemisms (e.g., “he went to sleep” |
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Definition
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Term
Unable to express feelings in a grownup way
Express grief through somatic complaints, regression, behavior problems, withdrawal, hostility
(death) |
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Definition
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Term
Understand death as an abstract concept
May have a romantic idea of death
If lost a parent, may assume parental role |
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Definition
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Term
| ____ of marriages in US end in divorce. |
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Definition
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Term
| The first _-_ years after divorce is most difficult for children. |
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Definition
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Term
| Children with emotionally disturbed siblings are at increased risk for what? |
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Definition
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Term
| Chronic physical illness is linked to emotional/behavioral problems (__-__X more likely than healthy peers) |
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Definition
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Term
| What helps children through divorce? |
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Definition
| Structured home & school routines |
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Term
| ___% of children & adolescents suffer from significant mental disorders, but only ___% of those receive treatment. |
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Definition
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Term
| ____ is the 10th leading cause of death in ages 1 to 14 |
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Definition
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Term
| Mental retardation is an Axis ___ disorder. IQ must be <____. |
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Definition
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Term
| ___% of MR have a mental illness as well. |
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Definition
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Term
| Functional deficits in at least 2 life skills like school, social skills, communication, leisure, health, safety, self direction |
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Definition
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Term
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Definition
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Term
wo features distinguish it from other forms of PDD
Onset before 30 months of age
Severe disturbance in social relationships |
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Definition
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Term
| Autism is an Axis __ disorder. |
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Definition
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Term
| ___% of autistic are also MR. It is found more in ____ than ____ but (____ more severe). |
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Definition
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Term
| 25% of autistic have ______ disorders. |
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Definition
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Term
| Part of the autistic spectrum but less severe. |
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Definition
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Term
| Aspergers is an Axis ___. |
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Definition
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Term
| Rx reduces hyperactivity, self-stimulation, and irritability in Autistic spectrum. |
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Definition
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Term
| Decrease repetitive behavior in autistic. |
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Definition
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Term
| Rx autistic activity level/attention |
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Definition
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Term
| Antipsychotic for autistic spectrum. |
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Definition
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Term
| Rx Autistic for inattention, impulsivity/overactivity |
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Definition
| Methylphenidate (Ritalin) |
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Term
| If an autistic child is doing a behavior that is not harmful for others what should you do? |
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Definition
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Term
Complex pattern of characteristics, largely outside of the person’s awareness.
Distinctive patterns of perceiving, feeling, thinking, coping, behaving & relating to others. |
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Definition
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Term
| a person’s life rules that filter information and only lets in what is compatible with beliefs |
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Definition
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Term
Evident during childhood or adolescence
Not accounted for by mental illness or substance use
Enduring, inflexible, and pervasive maladaptive behaviors |
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Definition
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Term
Odd or eccentric behavior
Paranoid (suspicious), schizoid (detached), schizotypal (eccentric) |
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Definition
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Term
Erratic, dramatic, emotional behavior
Antisocial (injures other), borderline (injures self), histrionic (overemotional), narcissistic (grandiose) |
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Definition
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Term
Anxious, fearful behavior
Avoidant (socially anxious), dependent (clinging), obsessive-compulsive (rigid, controlling) |
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Definition
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Term
Mistrustful, avoid relationships that cannot control
Persistent ideas of self-importance
Epidemiology
0.5 to 2.5% in general populations
More often in men |
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Definition
| Paranoid Personality Disorder |
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Term
disturbed thought process (does not meet criteria for social isolation as does not desire social contact)
Nursing interventions
It can be difficult to establish nurse–patient relationship
If trust is established, help patient identify problem areas (keeping job, getting along with others)
Changing thought patterns takes time |
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Definition
| Paranoid Personality Disorder |
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Term
Expressively impassive and interpersonally unengaged
Introverted and reclusive, engage in solitary activities
Communication sometimes confused
Neither desires nor enjoys close relationships
Minimum introspection, self-awareness, and interpersonal experiences
Epidemiology
Rarely diagnosed in clinical settings
Avoidant personality disorder occurs in 5% of cases |
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Definition
| Schizoid Personality Disorder |
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Term
| to enhance experience of pleasure, prevent social isolation, and increase emotional responsiveness to others |
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Definition
| Goal for Schizoid Personality Disorder |
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Term
Eccentric
Difficulty feeling understood & accepted
Pattern of social and interpersonal deficits
Void of close friends
Odd beliefs
Ideas of reference
When psychotic, symptoms mimic schizophrenia
Epidemiology: 0.6 to 5.1% prevalence |
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Definition
| Schizotypal Personality Disorder |
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Term
| ________ medications may be useful in reducing some symptoms of schizotypal and other cluster A disorders. |
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Definition
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Term
Appear more competent than they are
They live from one crisis to another
Risk factors
Childhood physical or sexual abuse
Loss of parents |
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Definition
| Borderline Personality Disorder |
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Term
| Borderline is mostly _____ and they are usually in their mid-______. |
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Definition
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Term
| % Suicide rate of borderline. |
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Definition
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Term
| unable to integrate good and bad in the same person, thus relating to others as a series of disconnected parts leads to ______. |
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Definition
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Term
| falsely attributes their own unacceptable feelings to others. |
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Definition
| Projective identification |
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Term
Emotional dysregulation (unable to control)
Emotional vulnerability (innate)
Invalidating environment |
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Definition
| Biosocial Borderline theory Marsha Linehan |
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Term
| Cognitive disturbance in borderline. |
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Definition
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Term
Establish trust
Recognize conflicting fears of abandonment and intimacy
Any termination needs to be planned carefully
Establish personal boundaries and limitations
Remain neutral to client’s comments, being neither flattered nor offended |
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Definition
| Nurse-pt relationship in borderline |
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Term
Observing personal limits
Being assertive
Clearly communicating expectations |
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Definition
| Modeling self-respect for borderline |
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Term
“I” statement to identify feeling
Nonjudgmental statement of the emotional trigger
What the patient would like done differently to restore comfort to the situation |
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Definition
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Term
Deep breath
Visualize stop sign or say stop
Replace with a positive alternative (self affirmation) |
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Definition
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Term
Combines numerous cognitive and behavior therapy strategies
Requires monitoring and commitment by patient
Core interventions include: problem solving, exposure techniques, skill training, contingency management (ex. plan to prevent self harm), and cognitive modification (Borderline) |
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Definition
| Dialectic Behavior Therapy |
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Term
| What produces lower attrition, fewer and less severe episodes of parasuicidal behavior, and fewer hospital days? |
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Definition
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Term
| Skills to decrease identity confusion, emptiness, cognitive dysregulation with DBT. |
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Definition
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Term
| Skills to decrease interpersonal chaos, fear of abandonment in DBT |
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Definition
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Term
| Skills to decrease labile affect and excessive anger with DBT. |
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Definition
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Term
| Skill to decrease impulsive behaviors and suicide threats DBT. |
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Definition
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Term
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Definition
Describe the circumstances
Express your feelings about it
Assert what you want
Reward the person in advance
Mindful-don’t be distracted, focus
Appear confident. Don’t be aggressive
Negotiate. Be willing to “give to get” |
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Term
Fear (urge to hide)- go forward
Sadness (retreat)- get active
Shame (hide, fix)- apologize or do it again
Anger (strike out)- gently avoid, be decent |
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Definition
| DBT-emotion regulation skills Opposite to emotion action |
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Term
Vision- look at a flower, watch a candle burn, look at nature
Hearing-soothing music, sounds of nature, sing your favorite song
Smell-bake bread, boil cinnamon, wear your favorite perfume, smell flowers
Taste-soothing drink, favorite food, savor the taste slowly
Touch-bubble bath, sit in a comfortable chair, put on lotion |
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Definition
| DBT-Distress Tolerance Skill Self-Soothe with the 5 senses |
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Term
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Definition
| Reinforce that the meds will assist the biological portion of the illness but the patient needs to work on the social & psychological. |
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Term
| What drug class can make borderline agitated and worse? |
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Definition
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Term
A pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood
Behaviorally impulsive
Interpersonally irresponsible
Fail to adapt to ethical and social standards Interpersonally engaging, but lack empathy
Easily irritated, often aggressive |
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Definition
| Antisocial personality disorder |
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Term
Hold the patient responsible for his or her behavior
Monitor the extent to which self-responsibility is assumed
Discuss the consequences of not dealing with responsibilities |
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Definition
| Self-responsibility facilitation in antisocial |
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Term
| Do not let this pt. argue or bargain about the rules. |
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Definition
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Term
| If this patient takes extra responsibility you should praise them? |
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Definition
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Term
| 5% children have _______ developmental disorder. |
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Definition
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Term
| Learning disorders are primarily _________. |
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Definition
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Term
| Who is mandated to address communication skills in developmentally disabled children? |
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Definition
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Term
| __% school-aged children have ADHD |
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Definition
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Term
| Persistent pattern of inattention, hyperactivity, and impulsiveness that is pervasive and inappropriate for developmental level |
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Definition
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Term
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Definition
Hyperactive type
Inattentive type
Combined type |
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Term
| Gender more affected by ADHD |
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Definition
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Term
| % ADHD that continue to have problems c attention & impulsiveness into adulthood. |
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Definition
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Term
| trouble staying on task, listening, responding to & following instructions, unable to organize, easily distracted, avoids tasks requiring mental effort |
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Definition
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Term
| talks excessively, always on the go, consistently squirms or fidgets, inappropriate running or climbing |
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Definition
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Term
| interrupts, intrudes, answers before question is finished |
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Definition
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Term
| Best EBP questionnaire for ADHD |
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Definition
| Parents & Teacher Connors Questionnaire |
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Term
| Best way to effect change. |
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Definition
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Term
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Definition
| methyphenidate (Ritalin) & pemoline (Cylert) |
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Term
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Definition
Tolerance
10 day supply lethal in OD
Abuse |
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Term
| Appetite decrease, weight loss & insomnia and Side FX of what drugs? |
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Definition
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Term
| What drugs do you need to do liver function tests on? How often? |
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Definition
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Term
| once daily, increased norepinephrine & dopamine, avoid caffiene |
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Definition
| Adderall XR (amphetamine sulfate) |
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Term
| peaks in 90 minutes to 2 hours, lasts 4 hours, implications for school |
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Definition
| Methylphenidate (Ritalin) |
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Term
| norepinephrine reuptake inhibitor |
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Definition
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Term
| norepinephrine reuptake inhibitor |
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Definition
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Term
Serious rules violation before the age of 13
For 12 months or more has repeatedly violated rules, age appropriate social norms or rights of others
Lying, theft, aggression against people or animals, property destruction, running away |
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Definition
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Term
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Definition
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Term
Persistent patterns of:
Disobedience
Argumentativeness
Angry outbursts
Low frustration tolerance
Blaming others
Trouble making friends
Often in conflict with adults
Not as serious as Conduct Disorder |
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Definition
| Oppositional Defiant Disorder (ODD) |
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Term
In home family counseling up to 30 hours a week for 5 months- include all agencies the child is involved with community, school, DFS, legal, church
Clarify parental expectations
Parent management training
Problem solving & social skills
Treat underlying depression, learning disability etc. which may decrease anger |
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Definition
| Multisystemic Therapy for CD & ODD |
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Term
4% of school age children
Excessive & inappropriate anxiety about being away from & loss of primary attachment figure
Lasts at least 4 weeks & causes significant impairment in social or academic functioning |
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Definition
| Separation Anxiety Disorder |
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Term
| child refuses to go to school ( this is also seen in other anxiety disorders with children) |
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Definition
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Term
| Acute distress, reluctance or refusal to leave caregiver, nightmares, sleeplessness, physical symptoms |
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Definition
| Separation anxiety disorder Sx |
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Term
Attention-seeking, life of the party
Insatiable need for attention and approval
Moody and often experience a sense of helplessness when others are disinterested
Sexually seductive in their attempts to gain attention, uncomfortable with single relationship
Appearance is provocative and speech dramatic
Loyalty and fidelity are lacking |
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Definition
| Histrionic Personality Disorder |
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Term
Grandiose, inexhaustible need for attention
Lack empathy
Fantasies of unlimited success, power, beauty, or ideal love
<1% of population
More frequent in only children and first-born boys & in men more than women |
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Definition
| Narcissistic Personality Disorder |
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Term
Avoid interpersonal contacts and social situations
Perceive themselves as socially inept |
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Definition
| Avoidant personality disorder |
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Term
Submissive pattern
Cling to others to be taken care of
Prevalent in clinical samples |
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Definition
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Term
| Different than OCD; not as many obsessions and compulsions, but rigidity, perfectionism, and control |
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Definition
| Obsessive-Compulsive Personality Disorder |
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Term
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Definition
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Term
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Definition
|
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Term
| they use denial, SSRI’s, Gamblers Anonymous |
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Definition
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Term
| Pulling out hair, may eat it |
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Definition
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Term
| Irresistible impulsivity to do harmful behavior, tension prior to behavior, gratification then remorse. |
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Definition
| Impulse control disorders |
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Term
| sudden, rapid, repetitive stereotyped movements or vocalizations. |
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Definition
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Term
Multiple motor & phonic tics for at least a year
Typical age of onset is 7 years old, affects more males than females
(can have adhd & ocd) |
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Definition
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Term
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Definition
| Low dose antipsychotics; clonidine |
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Term
| involuntary excretion of urine, usually in bed at night although can be during the day |
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Definition
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Term
| soiling clothing with feces or depositing feces in inappropriate places |
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Definition
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Term
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Definition
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Term
| Age of elimination disorders |
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Definition
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Term
| Causes 50% of the deaths in youth ages 15-24 |
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Definition
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Term
| Stage of substance abuse involving midweek use, excited followed by guilt. Self help groups are helpful. |
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Definition
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Term
| tobacco alcohol, weed, weekend recreation, exciting, minimal consequences, some lying, treat with drug ed, supply restriction, alternative activities |
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Definition
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Term
| anticipatory guidance, not using yet, best for prevention |
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Definition
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Term
| add stimulants, hallucinogens, selling, stealing, prostitution, daily use, highs followed by depression, shame, guilt, suicidal thoughts, legal, family & school problems, violence, stealing, vandalism need inpatient or foster care that have family involvement & aftercare |
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Definition
| Psychological or Physical Dependency |
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Term
| opiates, harder to achieve euphoria, chronic depression, paranoia & aggression, OD’s, blackouts, amnesia, illnesses, cough, fatigue need inpatient or foster care that have family involvement & aftercare |
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Definition
| Using drugs to feel normal |
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Term
Competent adult seeking and willing to accept inpatient treatment for mental illness
Patient may leave at any reasonable time or:
Discharged AMA
Involuntarily committed
Retains all civil rights (vote, drive, buy or sell property, manage personal affairs) |
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Definition
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Term
Request for admission made by someone other than the patient
Probate judge reviews petition and court orders involuntary evaluation & treatment
initiated by Mental Health Coordinator
police, family, friend
patient must be advised of rights within 3 hours
In MO: 96 hour, 21 day, 90 day, or 1 year |
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Definition
| Involuntary (Civil Commitment) |
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Term
Harm to self or harm to others
Mentally ill and in obvious need of treatment
Unable to provide for own basic needs
Involuntary patients’ rights:
Retains all civil rights
Retains the right to refuse treatment
Loses the right to leave hospital at any time |
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Definition
| Grounds for Involuntary Commitment |
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Term
| may receive no mind altering drug without permission of the court |
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Definition
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Term
| unable to assist attorney in own defense |
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Definition
| Incompetent to stand trial |
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Term
| found insane at time of crime or still in need of treatment, may be considered dangerous to self or others |
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Definition
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Term
Incompetency hearing
declared legally incompetent by Probate court
guardian is appointed by the court
Must show that all 3 of these exist:
Mentally disordered
Impaired judgment
Incapable of handling personal affairs
Another hearing required to reverse incompetency ruling
Loses civil rights & has no power to consent to or refuse treatment |
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Definition
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Term
Voluntary admission by
Parent or legal custodian (must show proof of custody)
Representative of Division of Family Services (DFS)
Juvenile court may order minor placed in custody of the DMH for evaluation & tx
In MO: at 18 years of age the DMH considers the child an adult |
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Definition
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Term
| What patients may leave at any reasonable time unless patient meets the criteria for involuntary commitment? |
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Definition
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Term
allows for civilly committed patient to leave before expiration of court order under certain conditions
Can be revoked if patient violates conditions of the release and can be readmitted without another court hearing |
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Definition
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Term
| duty to warn if reasonably certain that a client is going to harm someone |
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Definition
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Term
| No information shared about client, including fact of hospitalization or whether in therapy |
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Definition
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Term
| In 5 states, court can not mandate nurses to give information obtained in professional capacity |
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Definition
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Term
| Nurses are mandatory reporters for what? |
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Definition
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Term
Patients cannot be held against their will without an individualized treatment plan and certain other standards of care specified by law (food, clothing, etc.)
State hospitals must provide “adequate” treatment for involuntarily committed pt
Is not a guarantee of treatment for all patients
Identifies only minimal treatment standards |
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Definition
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Term
Mentally ill client can not be committed if other alternatives are more appropriate and available
Clients who are not dangerous cannot be hospitalized against their will
Clients can not be restricted in freedom any more than necessary to provide adequate treatment
Locked unit, seclusion, quiet room, restraints only when therapeutically necessary
Can wear own clothes, keep own personal effects excluding dangerous objects and valuables that cannot be protected |
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Definition
| Right to Treatment in Least Restrictive Setting |
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Term
Must be able to give consent
not a minor
not legally declared incompetent
Sign forms on admission which cover psychiatric treatment
Commitment procedure gives hospital right to treat involuntary patients
Psychosis or mental illness is not a reason to bypass informed consent
Written consent necessary for ECT, psychosurgery, experimental drugs |
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Definition
| Right to Informed Consent |
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Term
This right is lost only after client is declared incompetent (guardian can give permission)
Non-emergencies
Clients may not be forcibly medicated
Including committed clients
Emergencies
If client is violent to self or others, and all other less restrictive methods have failed, clients can be forcibly medicated |
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Definition
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Term
| Committed clients may at any time petition courts to be released on the grounds that they are sane |
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Definition
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Term
| May demand evaluation by physician of their choice and be released if determined to be sane |
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Definition
| Right to independent psychiatric evaluation |
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Term
May have visitors, write and receive letters, make and receive phone calls, including judges and lawyers
Can limit times for phone and visitors and deny access when they could cause harm |
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Definition
| Right to outside communication |
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Term
| Presence of physical symptoms without any organic or medical condition |
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Definition
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Term
Mental diagnoses characterized by unexplained medical illnesses
Patient’s psychological state contributes to the development of the physical illnesses |
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Definition
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Term
Physical symptoms arising from psychological distress
Primary symptom of somatoform and factitious disorders |
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Definition
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Term
| involuntary exclusion of painful feelings, conflicts or unacceptable impulses. |
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Definition
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Term
| Patient may deny psychological basis for the illness. |
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Definition
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Term
| compensates by increased activity & exertion (type A needs to control their body instead of allowing their body to control them |
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Definition
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Term
| Reverts to earlier stage of development, increased dependency & embraces the sick role |
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Definition
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Term
| Unintentional in motivation and produce unconscious symptoms |
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Definition
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Term
Chronic relapsing syndrome of multiple somatic symptoms for which there is no medical explanation
Hx. several years duration, beginning before age 30
Symptoms include combination of pain, GI, sexual, neurological, cardiopulmonary, female reproductive
High use of health services, physician visits, excessive surgery, psychiatric services, multiple medications
Chaotic social lives, often accompanied by depression and anxiety
Existence of primary gain (relief from emotional conflict) and secondary gain (ex. not working). |
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Definition
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Term
| Gender affected far more by psychosomatic disorder. |
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Definition
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Term
| inability to experience & communicate feelings consciously |
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Definition
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Term
| Telltale sign of psychosomatic disorder. |
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Definition
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Term
Unexplained physical problems for at least 6 months
May only be one set of symptoms |
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Definition
| Undifferentiated somatoform disorder |
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Term
Loss or change in physical functioning not explained by any medical disorder
Unexplained symptoms affecting motor or sensory function – not under voluntary control |
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Definition
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Term
| complacent, apathetic attitude toward the symptoms |
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Definition
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Term
Preoccupation with, and unrealistic interpretation of, physical symptoms as a serious disease
This is in spite of medical reassurance – tend to see multiple practitioners
Not delusional (can admit possibility of exaggeration), experience anguish over physical state
No actual loss or distortion of function occurs |
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Definition
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Term
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Definition
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Term
Focus on real (but slight) or imagined defects in appearance, such as a large nose, thinning hair, or small genitals
Preoccupation with the defect causes significant distress and interferes with their ability to function socially |
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Definition
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Term
Preoccupation with pain in the absence of a known physical disease – frequent visits to physician for relief
Various diverse manifestations – low back pain, headache, chronic pelvic pain – analgesics usually don’t help
Often follows physical trauma
Usually refuses to consider psychological origins
Depression usually present |
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Definition
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Term
| Types of conversion disorder |
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Definition
| Blind, deaf, mute, paralysis, paresthesias, seizures |
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Term
Munchausen’s Syndrome
Munchausen’s by Proxy
Malingering |
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Definition
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Term
Self-inflicted or intentional fabrication of physical or psychological signs or symptoms
Contaminate lab samples
Take anticoagulants
May dissociate during self injurious behavior |
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Definition
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Term
secondary gain to be nurtured, desires patient role, no external incentives (unlike BPD pts who admit self-harm these pts do it covertly.).
Compulsive, may travel from hospital to hospital, seeking admission for different illnesses, under different names |
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Definition
| Motivation for factitious disorder |
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Term
| extremely convincing stories containing truths & falsehoods |
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Definition
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Term
Unexplained chronic physical (sometimes psychological) symptoms
History of multiple hospitalizations & numerous surgical procedures
Pattern of hospital/doctor shopping |
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Definition
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Term
Children are presented as the ill one by a parent
Mother will induce physical symptoms in a child, smothering, fake temps
Child also suffers from medical procedures |
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Definition
| Munchausen's Syndrome by Proxy |
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Term
| Motivated by external incentives such as avoiding working or military duty, obtaining money or drugs, evading criminal prosecution |
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Definition
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Term
| Author and mental health social reformer committed to an asylum because she was insubordinate to her husband. |
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Definition
| Elizabeth Parsons Ware Packard |
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Term
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Definition
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Term
| Model of re-integration into society for mentally ill involving working together. |
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Definition
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Term
| Community that fosters the mentally ill as a tradition. |
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Definition
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Term
| Author that endured extreme physical and emotional abuse as a child. |
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Definition
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Term
| Song writer and vocalist whose parents divorced at age 7 and was shuffled between relatives. |
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Definition
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Term
| First lady with a personality disorder. |
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Definition
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Term
| Russian Novelist that suffered from depression, hypochondriasis and alcoholism. |
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Definition
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