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