Podcast
Questions and Answers
What was a common historical belief about the cause of mental illness in some cultures?
What was a common historical belief about the cause of mental illness in some cultures?
- Lack of education
- Dispossession of the soul (correct)
- Lack of hygiene
- Genetic inheritance
Which method did Hippocrates suggest to balance the four humors in the body?
Which method did Hippocrates suggest to balance the four humors in the body?
- Meditation practices
- Magical incantations
- Inducing vomiting and diarrhea (correct)
- Hypnotic sessions
How did some cultures historically try to 'cure' mental illness related to spiritual beliefs?
How did some cultures historically try to 'cure' mental illness related to spiritual beliefs?
- Isolation in caves
- Electric shock therapy
- Ritualistic exorcism (correct)
- Herbal remedies
During what period did the association of mental illness with witchcraft prominently prevail in Europe?
During what period did the association of mental illness with witchcraft prominently prevail in Europe?
What distinctive concept did Hippocrates contribute to the understanding of mental illness?
What distinctive concept did Hippocrates contribute to the understanding of mental illness?
Which of the following practices was NOT used historically as a 'cure' for mental illness?
Which of the following practices was NOT used historically as a 'cure' for mental illness?
What was one consequence of associating mental illness with demonology in ancient times?
What was one consequence of associating mental illness with demonology in ancient times?
What is a main theme explored in the evolution of psychiatric care?
What is a main theme explored in the evolution of psychiatric care?
Which characteristic is NOT associated with self-actualized individuals?
Which characteristic is NOT associated with self-actualized individuals?
According to Jahoda, which indicator reflects an individual's ability to maintain equilibrium among life processes?
According to Jahoda, which indicator reflects an individual's ability to maintain equilibrium among life processes?
Which element of Horwitz's definition of mental illness focuses on the cultural norms?
Which element of Horwitz's definition of mental illness focuses on the cultural norms?
What is one indicator of mental health identified by Jahoda that relates to independent behavior?
What is one indicator of mental health identified by Jahoda that relates to independent behavior?
What characteristic of self-actualization involves an individual's resistance to cultural norms?
What characteristic of self-actualization involves an individual's resistance to cultural norms?
Which indicator suggests that an individual can change and adapt to life's situations?
Which indicator suggests that an individual can change and adapt to life's situations?
According to the DSM-5-TR, what does a mental disorder reflect?
According to the DSM-5-TR, what does a mental disorder reflect?
What is an example of a distortion in the perception of reality, according to mental health indicators?
What is an example of a distortion in the perception of reality, according to mental health indicators?
Which characteristic of self-actualized individuals involves the capacity for focusing concentration?
Which characteristic of self-actualized individuals involves the capacity for focusing concentration?
Which of the following is NOT a characteristic of a democratic character structure?
Which of the following is NOT a characteristic of a democratic character structure?
What is the new diagnostic category in DSM-5-TR related to grief?
What is the new diagnostic category in DSM-5-TR related to grief?
What does a positive attitude toward self include?
What does a positive attitude toward self include?
What may be considered if there is an absence of mourning after a loss?
What may be considered if there is an absence of mourning after a loss?
Which concept refers to behavior that is understood within its cultural context?
Which concept refers to behavior that is understood within its cultural context?
How is 'mental health' defined in terms of stress and adaptation?
How is 'mental health' defined in terms of stress and adaptation?
Which of the following is a hallmark of mental illness as defined in the content?
Which of the following is a hallmark of mental illness as defined in the content?
According to Peplau's levels, what are the stages of anxiety?
According to Peplau's levels, what are the stages of anxiety?
What does Robinson's definition of mental health emphasize?
What does Robinson's definition of mental health emphasize?
Which aspect distinguishes mental health according to the content?
Which aspect distinguishes mental health according to the content?
What characteristic of self-actualized individuals involves emotional intensity?
What characteristic of self-actualized individuals involves emotional intensity?
What practice contributed to the expression 'ship of fools' during the period described in the text?
What practice contributed to the expression 'ship of fools' during the period described in the text?
What does the Mental Health/Mental Illness Continuum represent?
What does the Mental Health/Mental Illness Continuum represent?
What is grief described as in terms of loss?
What is grief described as in terms of loss?
How did Middle Eastern countries during this period perceive mental illness?
How did Middle Eastern countries during this period perceive mental illness?
Which symptoms are associated with maladaptive responses to grief?
Which symptoms are associated with maladaptive responses to grief?
What was the primary approach to mental illness care in Colonial America?
What was the primary approach to mental illness care in Colonial America?
What role did Benjamin Rush play in the history of mental illness treatment?
What role did Benjamin Rush play in the history of mental illness treatment?
What influence does culture have on identifying mental illness?
What influence does culture have on identifying mental illness?
Why is careful assessment crucial in distinguishing grief responses?
Why is careful assessment crucial in distinguishing grief responses?
What was Dorothea Dix known for in the field of mental health?
What was Dorothea Dix known for in the field of mental health?
Which of the following challenges led to a decline in the quality of care in state asylums?
Which of the following challenges led to a decline in the quality of care in state asylums?
When did the emergence of psychiatric nursing begin?
When did the emergence of psychiatric nursing begin?
What significant change in psychiatric nursing education occurred in 1955?
What significant change in psychiatric nursing education occurred in 1955?
What did Maslow's model focus on in terms of mental health?
What did Maslow's model focus on in terms of mental health?
What legislation helped to address psychiatric education after World War II?
What legislation helped to address psychiatric education after World War II?
What impact did the introduction of antipsychotic medications have on psychiatric care?
What impact did the introduction of antipsychotic medications have on psychiatric care?
What was a key aspect of Linda Richards' contribution to psychiatric nursing?
What was a key aspect of Linda Richards' contribution to psychiatric nursing?
How did Dorothea Dix's views differ regarding mental illness in the 19th century?
How did Dorothea Dix's views differ regarding mental illness in the 19th century?
What is a key requirement before achieving self-actualization according to Maslow?
What is a key requirement before achieving self-actualization according to Maslow?
What was a drawback of the early psychiatric asylums despite their humanistic intent?
What was a drawback of the early psychiatric asylums despite their humanistic intent?
Which level of anxiety is associated with increased motivation and heightened awareness?
Which level of anxiety is associated with increased motivation and heightened awareness?
What characterizes severe anxiety in terms of perceptual field and attention span?
What characterizes severe anxiety in terms of perceptual field and attention span?
What emotional characteristic is common at the panic level of anxiety?
What emotional characteristic is common at the panic level of anxiety?
What is not a characteristic of moderate anxiety?
What is not a characteristic of moderate anxiety?
How does mild anxiety affect learning?
How does mild anxiety affect learning?
Which symptom is characteristic of severe anxiety but not panic?
Which symptom is characteristic of severe anxiety but not panic?
What is a common characteristic of anxiety as described in the context?
What is a common characteristic of anxiety as described in the context?
What is a primary determinant of whether an anxiety response is adaptive or maladaptive?
What is a primary determinant of whether an anxiety response is adaptive or maladaptive?
Which of the following is not part of the emotional and behavioral characteristics of moderate anxiety?
Which of the following is not part of the emotional and behavioral characteristics of moderate anxiety?
What physiological change is seen in an individual experiencing panic anxiety?
What physiological change is seen in an individual experiencing panic anxiety?
Which level of anxiety is likely experienced when an individual can no longer comprehend simple directions?
Which level of anxiety is likely experienced when an individual can no longer comprehend simple directions?
Which factor is not mentioned as influencing an individual's response to stressful situations?
Which factor is not mentioned as influencing an individual's response to stressful situations?
Which statement accurately describes anxiety at the mild level?
Which statement accurately describes anxiety at the mild level?
What defines the perceptual field in moderate anxiety?
What defines the perceptual field in moderate anxiety?
What level of anxiety involves being unable to take notice of an event even when directed by another?
What level of anxiety involves being unable to take notice of an event even when directed by another?
Which of the following is an example of compensation as a defense mechanism?
Which of the following is an example of compensation as a defense mechanism?
What happens to the perceptual field as the level of anxiety increases?
What happens to the perceptual field as the level of anxiety increases?
Which coping mechanism is considered more adaptive?
Which coping mechanism is considered more adaptive?
What term describes behaviors that enhance adaptation to stress?
What term describes behaviors that enhance adaptation to stress?
What is the primary role of the ego according to Sigmund Freud?
What is the primary role of the ego according to Sigmund Freud?
Which ego defense mechanism involves attributing one’s unacceptable feelings to another person?
Which ego defense mechanism involves attributing one’s unacceptable feelings to another person?
How does moderate anxiety affect an individual's attention span?
How does moderate anxiety affect an individual's attention span?
What kind of disorders can unresolved moderate-to-severe anxiety contribute to?
What kind of disorders can unresolved moderate-to-severe anxiety contribute to?
Which defense mechanism involves involuntarily blocking unpleasant experiences?
Which defense mechanism involves involuntarily blocking unpleasant experiences?
Which of the following is an example of intellectualization?
Which of the following is an example of intellectualization?
What is the defense mechanism characterized by covering up weaknesses by focusing on desirable traits?
What is the defense mechanism characterized by covering up weaknesses by focusing on desirable traits?
Which mechanism is used when unacceptable impulses are transferred to a neutral target?
Which mechanism is used when unacceptable impulses are transferred to a neutral target?
In the context of psychological factors affecting medical conditions, what is identified?
In the context of psychological factors affecting medical conditions, what is identified?
Which defense mechanism involves refusing to acknowledge a real situation?
Which defense mechanism involves refusing to acknowledge a real situation?
What is the effect of unresolved moderate-to-severe anxiety over time?
What is the effect of unresolved moderate-to-severe anxiety over time?
What is a key characteristic of panic anxiety?
What is a key characteristic of panic anxiety?
Which feature is not characteristic of a neurosis?
Which feature is not characteristic of a neurosis?
In the context of severe anxiety, which of the following symptoms represents a physical manifestation?
In the context of severe anxiety, which of the following symptoms represents a physical manifestation?
What distinguishes sublimation from other defense mechanisms?
What distinguishes sublimation from other defense mechanisms?
What type of disorders are phobias classified under?
What type of disorders are phobias classified under?
Which characteristic is common in psychosis but not in neurosis?
Which characteristic is common in psychosis but not in neurosis?
Which term describes the symbolic negation of an intolerable experience?
Which term describes the symbolic negation of an intolerable experience?
How is severe anxiety different from panic anxiety?
How is severe anxiety different from panic anxiety?
Which is an example of a somatic symptom disorder?
Which is an example of a somatic symptom disorder?
A mother dedicating her energy to an advocacy group after losing her child is an example of which defense mechanism?
A mother dedicating her energy to an advocacy group after losing her child is an example of which defense mechanism?
What is not a characteristic of people with psychoses?
What is not a characteristic of people with psychoses?
Which type of disorder involves disruptions in consciousness and perception?
Which type of disorder involves disruptions in consciousness and perception?
Which statement is true about individuals experiencing grief?
Which statement is true about individuals experiencing grief?
How does suppression differ from repression?
How does suppression differ from repression?
Which of the following is associated with anosognosia?
Which of the following is associated with anosognosia?
Flashcards
Cultural beliefs in mental health
Cultural beliefs in mental health
Cultural context influences what is considered acceptable or abnormal behavior.
Ancient treatments for mental illness
Ancient treatments for mental illness
Early methods included exorcisms and brutal rituals to expel evil spirits.
Hippocrates' theory
Hippocrates' theory
He proposed mental illness resulted from imbalances in the body's humors.
Four body humors
Four body humors
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Continuum of mental health
Continuum of mental health
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Supernatural beliefs
Supernatural beliefs
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Psychiatric care evolution
Psychiatric care evolution
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Witchcraft association
Witchcraft association
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Coping Mechanisms
Coping Mechanisms
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Adaptive Coping Skills
Adaptive Coping Skills
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Moderate Anxiety
Moderate Anxiety
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Ego
Ego
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Ego Defense Mechanisms
Ego Defense Mechanisms
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Compensation
Compensation
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Denial
Denial
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Displacement
Displacement
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Intellectualization
Intellectualization
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Regression
Regression
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Repression
Repression
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Projection
Projection
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Rationalization
Rationalization
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Isolation
Isolation
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Reaction Formation
Reaction Formation
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Maladaptive Responses
Maladaptive Responses
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Adaptation to Stress
Adaptation to Stress
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Anxiety
Anxiety
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Components of Stress Response
Components of Stress Response
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Four Levels of Anxiety
Four Levels of Anxiety
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Mild Anxiety
Mild Anxiety
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Severe Anxiety
Severe Anxiety
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Panic Anxiety
Panic Anxiety
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Physiological Factors
Physiological Factors
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Coping Strategies
Coping Strategies
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Support Systems
Support Systems
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Emotional Responses to Stress
Emotional Responses to Stress
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Behavioral Responses to Stress
Behavioral Responses to Stress
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Predisposing Factors
Predisposing Factors
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Normal mourning process
Normal mourning process
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Maladaptive grief
Maladaptive grief
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Prolonged grief disorder
Prolonged grief disorder
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Grief vs. depression
Grief vs. depression
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Mental health definition
Mental health definition
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Mental illness definition
Mental illness definition
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Anxiety levels
Anxiety levels
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Responses to stress
Responses to stress
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Sociocultural perspective
Sociocultural perspective
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Normal vs. maladaptive grief
Normal vs. maladaptive grief
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Ship of Fools
Ship of Fools
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First Asylums
First Asylums
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Benjamin Rush
Benjamin Rush
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Dorothea Dix
Dorothea Dix
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Custodial Care
Custodial Care
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Linda Richards
Linda Richards
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National Mental Health Act
National Mental Health Act
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Hierarchy of Needs
Hierarchy of Needs
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Self-Actualization
Self-Actualization
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Psychiatric Nursing
Psychiatric Nursing
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Antipsychotic Medications
Antipsychotic Medications
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Mental Health Theorists
Mental Health Theorists
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Community Health Movement
Community Health Movement
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Psychological Therapies
Psychological Therapies
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Self-Actualized Individuals
Self-Actualized Individuals
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Characteristics of Self-Actualization
Characteristics of Self-Actualization
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Indicators of Mental Health
Indicators of Mental Health
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Positive Attitude Toward Self
Positive Attitude Toward Self
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Growth and Self-Actualization
Growth and Self-Actualization
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Integration
Integration
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Autonomy
Autonomy
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Accurate Reality Perception
Accurate Reality Perception
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Environmental Mastery
Environmental Mastery
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Incomprehensibility in Mental Illness
Incomprehensibility in Mental Illness
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Cultural Relativity
Cultural Relativity
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APA Definition of Mental Disorder
APA Definition of Mental Disorder
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Successful Adaptation to Stressors
Successful Adaptation to Stressors
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Sublimation
Sublimation
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Suppression
Suppression
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Undoing
Undoing
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Neurosis
Neurosis
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Anxiety Disorders
Anxiety Disorders
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Somatic Symptoms
Somatic Symptoms
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Dissociative Disorders
Dissociative Disorders
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Psychosis
Psychosis
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Grief
Grief
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Mourning
Mourning
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Repressed Anxiety Effects
Repressed Anxiety Effects
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Loss Response
Loss Response
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Study Notes
Historical Overview of Psychiatric Care
- Primitive cultures often attributed mental illness to spiritual or supernatural causes, leading to brutal treatments like exorcism.
- Hippocrates (400 BCE) moved away from supernatural explanations, proposing that mental illness stemmed from an imbalance of bodily fluids (humors).
- The Middle Ages saw continued association of mental illness with witchcraft, resulting in practices like sending individuals to sea (ship of fools).
- Middle Eastern cultures viewed mental illness as a medical condition, eventually leading to specialized institutions (early asylums).
- Colonial America reflected European attitudes toward mental illness.
- The 18th century saw the introduction of humanistic treatments in American hospitals.
- The 19th century saw the establishment of state asylums, though overcrowding and poor conditions arose.
- 1873 marked the beginning of psychiatric nursing with Linda Richards, who established the first school of psychiatric nursing.
- The National Mental Health Act of 1946, prompted by post-WWII needs, funded psychiatric education and research.
- Antipsychotic medications emerged, allowing for greater client participation in treatment.
Mental Health
- Mental health is defined as successful adaptation to internal/external stressors, demonstrated by age-appropriate, culturally-normative thoughts, feelings, and behaviors.
- Maslow (1970) proposed a hierarchy of needs, with self-actualization representing the highest level.
- Jahoda (1958) highlighted six key indicators of mental health: positive self-attitude, growth and development, integration, autonomy, reality perception, and environmental mastery.
- Robinson (1983) defined mental health as a dynamic state of age-appropriate, culturally-congruent thoughts, feelings, and behaviors.
Mental Illness
- Defining mental illness universally is challenging due to cultural variations.
- Horwitz (2010) highlighted incomprehensibility and cultural relativity: behavior deemed abnormal in one culture can be normal in another.
- The APA's DSM-5-TR defines mental disorder as a syndrome with clinically significant disturbance in cognitions, emotion regulation or behavior, reflecting dysfunction in underlying processes.
- Mental illness is considered maladaptive responses to internal/external stressors, incongruent to cultural norms and impacting functioning.
Psychological and Behavioral Adaptation to Stress
- Anxiety and grief are key psychological responses to stress.
- Adaptation depends on how thoughts, feelings, and behaviors interfere with function.
Anxiety
- Anxiety is apprehension related to perceived impending danger.
- Peplau (1963) described four levels: mild, moderate, severe, and panic, each with varying physiological and behavioral characteristics.
- Coping mechanisms, ego defense mechanisms, and physical/behavioral changes exist throughout these levels.
- Severe/prolonged anxiety can lead to neurotic symptoms, which can be accompanied by physical problems.
- Panic anxiety involves extreme misperceptions, loss of reality, and potential for dangerous behavior.
Grief
- Grief is a subjective response to loss (real or perceived).
- The normal mourning process includes sadness, guilt, anger, etc., and its absence can be maladaptive.
- Prolonged grief disorder is a recognized clinical condition in the DSM-5-TR.
Mental Health/Mental Illness Continuum
- Anxiety and grief are placed on a continuum according to symptom severity, illustrating how maladaptive behaviors exist within a wider spectrum of adaptation.
- The continuum shows the various levels of severity related to mental disorders and how these behaviors are related to disorders according to the DSM-5-TR.
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