personality_disorder_connolly

personality_disorder_connolly - Managing Care for Persons...

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Unformatted text preview: Managing Care for Persons with Personality Disorders Phyllis M. Connolly PhD, APRN, BC, CS Professor of Nursing San Jose State University connollydr@son.sjsu.edu 408-924-3144 Questions to Consider How does the stigma of the label of Borderline Personality impact care? What is the relationship between ego affects, ego defenses and ego defects for persons with personality disorders What are your views concerning suicide and self-harm? How do stress & anxiety impact your patient and you? What strategies are useful when dealing with anger? How do you respond when you feel as if you are being manipulated? What is splitting? What are some effective interventions to deal with self- harm, and manipulative behaviors? What are your self-care behaviors? Qualities of Healthy Personality Positive & accurate body image Realistic self-ideal Positive self-concept High self-esteem Satisfying role performance Clear sense of identity Personality persona Complex pattern psychological characteristics Not easily eradicated Expressed automatically in every facet of functioning Biological dispositions & experiential learning Distinctive pattern of perceiving, feeling, thinking & coping Why Do We Behave the Way We Do? Affective (feelings) Cognitive (thoughts) Behavioral (actions) Interacting Systems Human Behavior Stress: A person-environment A person-environment interaction interaction Sources Biophysical Chemical Psychosocial Cultural Heat-cold noise radiation exhaustion physical inactivity alcohol nicotine caffeine External stimuli Emotional feelings Peripheral physiological changes Central nervous system arousal Internal stimuli Genetic equip Past experience Stress Individual perception of stressor- conscious or unconscious Stress Model Responses to Stress Demanding situation--stressor Internal state Tension Anxiety Strains Anxiety Normalfeeling response to a threat to ones safety, well-being, or self-concept Characteristics Appropriate to the threat Anxiety can be relieved Can cope either alone or with some support Problem solving slow but still usable Abnormal Anxiety Occurs more frequently, longer and more intense Interferes with ones life Function is more impaired Disproportionate to threat Blocks learning from the experience Pervasive feeling in all mental health problems Psychosis Brief Reactive Psychosis Panic Dread Loneliness Rituals Avoidance Psychosomatic Heartpound Palpitations Shakiness Butterflies All senses alert Calm Daydreaming Sleep Panic Acute and Chronic Normal RELATIVE SEVERITY OF ANXIETY (Haber p.437)...
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personality_disorder_connolly - Managing Care for Persons...

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