Essentials of Psychiatric Mental Health Nursing: Concepts of by Mary C. Townsend DSN PMHCNS-BC;

By Mary C. Townsend DSN PMHCNS-BC;

Thoroughly revised and up to date, this source offers an evidence-based, holistic method of psychological future health nursing-in a streamlined structure that explores nursing diagnoses for either physiological and mental issues.

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If an excessive amount of psychic energy is stored in one of these personality components, behavior reflects that part of the personality. For instance, impulsive behavior prevails when excessive psychic energy is stored in the id. Overinvestment in the ego reflects self-absorbed, or narcissistic, behaviors; an excess within the superego results in rigid, selfdeprecating behaviors. Townsend(F)-02 6/28/07 2:58 PM Page 18 Copyright © 2008 by F. A. Davis. 18 UNIT I ● INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH CONCEPTS Freud used the terms cathexis and anticathexis to describe the forces within the id, ego, and superego that are used to invest psychic energy in external sources to satisfy needs.

A. Davis. 9 GAF Dysthymic Disorder Dependent Personality Disorder Hypothyroidism Unemployed ϭ 65 (current) Axis IV—Psychosocial and Environmental Problems: These are problems that may affect the diagnosis, treatment, and prognosis of mental disorders named on axes I and II. These include problems related to primary support group, social environment, education, occupation, housing, economics, access to health care services, interaction with the legal system or crime, and other types of psychosocial and environmental problems.

If the relationship with the lost entity had been marked by ambivalence or if there had been an enduring “love–hate” association, reaction to the loss may be burdened with guilt. Guilt lengthens the grief reaction by promoting feelings of anger toward the self for having committed a wrongdoing or behaved in an unacceptable manner toward that which is now lost. It may even lead to a feeling that one’s behavior has contributed to the loss. Anticipatory grieving is thought to shorten the grief response in some individuals who are able to work through some of the feelings before the loss occurs.

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