Personality
composite of behavioral traits and attitudes that identify one as an individual- the unique pattern of thoughts, attitudes, values, and behaviors each human develops to adapt to a particular environment and its standards
when does mortality begin to develop?
6-10 years of age
Do NOT assume that a personality change in an older adult is normal
(T/F)
true
biological theory
One's temperament (the biological bases that underlie moods, energy levels, and attitudes) is genetically linked
abnormalities in certain neurotransmitters, such as dopamine and serotonin are linked to _______________.
maladaptive behaviors
personality disorders
long standing, maladaptive patterns of behaving and relating.
-most important behaviors are inflexible and maladaptive
dual diagnosis
personality disorders also suffer from substance abuse or other mental health problems
three clusters on the basis of similar behaviors
erratic cluster
characterized by odd or strange behaviors
- defining characteristics dramatic behavior (overally emotional and unpredictable)
three clusters on the basis of similar behaviors
fear cluster
characteristic of the fearful cluster is anxiety
- avoidant- they have social distress
- dependent- excessive need to be care for resulting in clinging submissive behaviors. (most common personality disorder)
- obsessive- OCD
why do most patients not seek treatment or refuse?
because of history of misconceptions
psychosis
inability to recognize reality, relate to others, or cope with life's demands
schizophrenic
will have psychosis
-soemone with psychosis will not necessarily have schizophrenia
clozapine
most important thing to remember*
monitoring WBC
-weekly blood work cause ti can wipe out the WBC
dissociative disorders
involuntary escape from reality. there is disconnection between thoughts, identity, consciousness, and memory
dissociation
an attempt to cope with deep- seated emotional anxiety or distress.
identify diffusion
failure to bring various childhood identifications into an effective adult personality
dissociative amnesia
like a rape victim that doesn't remember the attack but lives the depression, numbness, and trauma
dissociative fugue (fugue means escape from reality)
sudden, unexpected travel with an inability to recall the past. they can get in the car and go; they can drive to another place of the planet and do not remember.
dissociative trance disorder
consciousness remains.
-occurs when trances cause clinically significant distress or functional impairment
possession trances
they involve the appearance of one or more distinct identity that directs the individual to perform complex activate.s can cause significant distress or impairment
dissociative identity disorder
presence of two or more identities or personalities that repeatedly take control of an individuals behavior.
-each personality is unique and represents that individual at a different developmental stage
therapeutic interventions
treatment for dissociative disorders involves long term therapy provided in an outpatient setting
domestic violence
abuse and battering within a family
-battery intentional or harmful touching of another person that is done without his/her consent.
-very high assault rates in pregnant women
gender abuse
characteristics of an abused woman
- trusting nature
- raised to be nonaggressive and traditional
- believes that the man is master and protector of the household
- women that were raised to be non-aggressive
abuse during pregnany
- for some women, pregnancy only increases their chances of being abused
- the frequency and severity of abuse, as well as the potential for homicide, are significantly increased for white women who become pregnant
- these women are afraid of their abusers, so they dont seek pre natal care
child abuse
the most vulnerable individuals in society, our children, are often the most abused
shaken baby syndrome
-unexplained vague injuries
unexplained leathery, fuzziness, irritability, ands presence of seizures due to the swelling of the brain. this should be reported
adolescent abuse
the three leading causes of death for all adolescents
- fatal accidents
- murder
- suicide
who are the most frequent abusers to older adults?
family members
sexual abuse
unwanted sexual attention of another
PTSD
a clinical syndrome related to violence
-they will have flashbacks