-
Name the ego functions
- reality testing
- judgment
- sense of reality of the world and self
- regulation and control drives (impulse control)
- thought process (cognition)
- Adaptive regression in the service of the Ego
- Defense functioning
- Stimulus barriers
- autonomous functioning
- synthetic functioning
- Mastery competence
- object relations
-
ego function -- reality testing
- testing the accuracy of perceptions
- can be seriously flawed in psychotic states
-
ego function -- judgment
- ability to anticipate consequences for behavior
- judge appropriateness of behavior in a given situation
- lacking in teens and people with substance abuse
-
ego function -- sense of reality of the world and of the self
- extent to which external events are expressed as real or familiar and belonging to you
- common in cases of trauma
-
ego function -- regulation and control of drives (impulse control)
- strongly linked to judgment
- urge --> action = inappropriate
- urge --> thought --> action = appropriate
-
ego function -- thought process (cognition)
- how the machine is working
- memory, concentration, paying attention, concrete and/or abstract thinking
-
ego function -- adaptive regression in the service of the Ego
- a person's capacity to play or have humor
- to not take things too serious
-
ego function -- defense functioning
- when defenses fail,we can look for more psychological problems
- maladaptive defenses can affect behavior (denial and drinking)
-
ego function -- stimulus barriers
how various barriers to sensory stimulus work
-
ego function -- autonomous functioning
- how free the machine is from the effects of conflicts
- going through a divorce, but can still focus at work
-
ego function -- synthetic functioning
psychological capacity to handle conflicts in relationships
-
ego function -- mastery-competence
- actual competence vs. perceived competence
- ability to cope with the unforeseen or unexpected
-
ego function -- object-relations
- the kind and degree of relatedness to other people
- how mature that relatedness is
- recognize people is independent entities
- maintain object-constancy
- how well a person can handle frustration and anxiety in a relationship
-
mental statues exam categories
- Appearance/presentation
- behavior
- speech
- affect/mood (affect = observed, mood = reported)
- thought process (is one thought leading to another)
- thought content (what is coming out of the person's brain)
- cognition (oriented x4 = person, place, time, situation)
-
what is the mental status examination
- Method of organizing and evaluating important clinical observations in the here and now
- focuses on cognitive process
- use when there is a history of head injury, dementia, drug and alcohol use
-
name the neurocognitive domains
- complex attention
- executive function
- learning and memory
- language
- perceptual-motor
- social cognition
-
name the neurocognitive disorders
- delirium
- major neurocognitive disorder
- minor neurocognitive disorder
-
define delirium
- disturbance in attention/awareness
- rapid onset/fluctuation
- additional disturbance in cognition
- direct consequence of substance use/withdrawal or general medication
-
specific delirium disorders
- substance intoxication and/or withdrawal
- medication-induced
- due to another medical condition
- due to multiple etiologies
- unspecified
-
neurocognitive domain -- complex attention
- ability to direct, focus, sustain, and shift attention
- speed of mental processing
- assessed by performing mental calculations
-
neurocognitive domain -- executive function
- ability to plan, organize, make decisions
- complete tasks following interruption
-
neurocognitive domain -- learning and memory
- immediate, short-term, recent, long-term
- ability to learn store, and retain information
-
neurocognitive domain -- language
expressive and receptive language abilities
-
neurocognitive domain -- perceptual-motor
- visual perception
- ability to translate idea into action
-
neurocognitive domain -- social cognition
- ability to recognize emotions
- consider another person's mental state
-
what cognitive difficulties are associated with TBI?
- complex attention
- executive function
- learning and memory
- slowness in information processing
- disturbances in social cognition
|
|
