Psych Flashcards
(33 cards)
What is NSSI (non-suicidal self-injury)?
4 part definition 1) deliberate harming of one's body 2) resulting in tissue damage 3) NO suicidal intent 4) NOT culturally sanctioned INTENSE EMOTION is involved
Do people who practice NSSI have ‘accidental death’?
not likely
What are examples of NSSI?
cutting, burning hitting, bruising scratching, pinching, rubbing biting broken bones "accidents" ingesting, embedding toxic substances or foreign objects food restriction/overconsumption hair pulling cuticles, fingers, inside of mouth
Why do people do NSSI?
distract from EMOTIONAL PAIN self punishment relieve tension euphoria to "numb" to "feel real" --> alerting the brain where the body is communicate pain, anger, or others
NSSI myths?
failed suicide attempt injury isnt bad so its not serious self injury is just an attempt to get attn sign person was abused do not feel pain phase that people grow out of
Tips for those who practice NSSI?
talk butterfly project/to write love on her arms ID triggers and protect when triggered positive releases - exercise one day at a time
Tips for WORKING w/ pts who practice NSSI?
compassion listen judgements educate respond w/ professionalism and honesty supportive action positive action, self-care
Domestic violence and emotional abuse used by?
person in a relationship to control the other
What is the cycle of violence?
tension building –> acute explosion –> honeymoon
What is tension building abuser vs victim?
abuser:
-nitpicking
-yelling
victim:
-attempts to calm and reason
-satisfy w/food
What are examples of abuse?
name calling putdowns public humiliation withholding money limiting actions (no socializing, family contact) actual/threatening physical harm sexual assault stalking
What is acute explosion abuser vs victim?
abuser: -verbally abuses and humiliates -physical abuse victim: -protects self -reason -leaves/fights back
What is honeymoon abuser vs victim?
abuser: -apologizes -justify behavior -blames drugs/alcohol -declares love -threatens suicide victim: -agrees to return -forgive -hopeful
Who is the most vulnerable for DV?
pregnancy
How common is DV?
1 cause of injury
What is sexual assault?
unwanted
non consensual sexual contact
What is the perpetrator’s motivation - sexual assault?
power, control, dominance
What is child sexual abuse?
adult or another child manipulates, threatens, or forces a child into sexual activity
take advantage of trust
Is physical force necessary in child abuse?
no
Who is at the highest risk for DV?
transgender women
What is limit of confidentiality?
screening for intimate partner violence w/out discussing LOC is unethical if provider is obligated to break confidentiality and force patient to accept involvement of police
What does AMA say about LOC?
if there is NO immediate risk then it is unethical for provider to break confidentiality without patient consent
What is SAVER?
Screen all pts Ask non judgmental questions Validate the patient Evaluate reasonable risk/benefit Refer for appropriate tx/intervention
What is the goal for DV?
respect self-determination
validation
