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neurobiological theory
genetic factors, neuroanatomy, neurophysiology, biological rhythms
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Intrapersonal theory
Freud. mental disorders are vied as arising from within individual.
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Id
biological and psychological drives with which a person is born; instant gratification of needs
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Ego
mediates the drives of id with reality that promotes well-being; does not concern itself with moral values / social taboos
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Superego
concerned with moral behavior.
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Concious
thoughts, feelings & experiences that are easily remembered
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Subconscious
thoughts, feelings & experiences that are forgoten but can easily be recalled
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Unconscious
thoughts, feelings, experiences & dreems that cannout be brought to conscious thought or remembered
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Oral stage
birth - 18 months
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Anal Stage
18 months - 3 years
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Phallic stage
3 - 6 years
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Genital stage
12 years - early adulthood
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Erikson
Intrapersonal / developmental theory
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Trust vs. Mistrust
birth - 1 year
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autonomy vs shame & doubt
1 - 2 years
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initiative vs guilt
3 - 5 years
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industry vs inferiority
6 - 11 years
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identity vs role confusion
12 - 19 years
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intimacy vs isolation
20 - 30s
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generativity vs stagnation
40s - 50s
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integrity vs despair
60 +
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Maslow
- hierarchy of needs
- physiological -> safety -> love & belonging -> esteem & recognition -> self-actualization
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Behavioral theory
all behavior is learned, and therefore can be modified by a system of rewards & punishment (B.F. Skinner)
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Cognitive theory
(Piaget) intelligence grows by exposing children to the world around them
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Minimizing / belittling expressed feelings
"everyone gets down in the dumps sometimes"
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Changing the subject
- "i've had it. Its my last straw"
- "what would you like to do today"
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Defending
"your doctor is very good, I'm sure he only has your best interests in mind"
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validating perceptions
"I think I hear you saying you're afraid, is that correct?"
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Giving Advice
"it sounds like you should tell your husband"
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Exploring
"what are your concerns about your illness?"
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Making Observation
"you seem tense"
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Placing event in time or sequence
"was this before or after your accident"
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demanding an explanation
"why do you feel this way"
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false reassurance
"I'm sure things will get better"
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reflection
- "what do you thing I should do about my husband?"
- "what do you thing you should do about your husband"
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broad opening
"what would you like to talk about"
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General lead
"I hear what you're saying, go on"
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restating
- " i can't study, my mind keeps wandering"
- "you are having difficulty concentrating"
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Locus of control
"what made you so angry last night"
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Clarifying
"i'm not sure i understand, please explain"
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Suggesting collaboration
"maybe this is something you and I can figure out together"
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Voicing doubt
" I find that hard to believe"
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Verbalizing the implied
- "i have 3 kids, their dad left us"
- "it must be hard for you to raise 3 children by yourself"
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Focusing
- "my mom is dead, i hate it here, i'm not sick"
- "what don't you like about the hospital"
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Suppression
you have an unresolved fight with your partner in the morning before clinical, but you go to clinical and perform well after putting the fight out of your mind
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displacement
a girl who was bullied and teased at school picks on her younger siblings
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identification
a teenager who spent much time in the hospital with serious illness decided to become a doctor
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undoing
you snap at your child before school so decide to buy him his favorite treet
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compensation
a boy who does very poorly in sports works hard to make the high honor roll
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regression
4 y/o wets teh bed after the birth of baby sister
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reaction formation
jane hates nursing school, but enrolled to please her parents. she tells friends what a wonderful career it will be and that she enjoys the challenge
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intellectualization
when you receive the news that your elderly mother has died you say at least she did not have to suffer and she lived a good life
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projection
a person who is very uncomfortable with his homosexuality condemns his fater for his homophobia comments
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repression
a young woman cannot remember sexual abuse she suffered as a teen
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introjection
a 4 y/o tells her friend " don't hit your doll. Its not nice to hit"
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denial
Mother with a developmentally disabled child saves for his college
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conversion
a young man develops a paralyzed arm after argument with father
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rationalization
john tells the rehab nurse " i drink to deal with my job stress"
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Assertive
" i have not started dinner yet, and i'd like some help"
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Passive agressive
(thinking to yourself)
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Aggressive
"i'm going to do what i want to do, when i want to do it, and you can't stop me"
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Voluntary admission
clinet, for the purpose of assessment and treatment of a mental disorder, consents to hospitalization and signs a document indicating this
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commitment / involuntary admission
detaining a client in a psychiatric facility against his or her own will may be requested in most states on basis of being dangerous to self / others
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advance directive
indicating permission for treatment in case of future incompetence
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