Don’t assume all people from one culture are the same

Research and statistics show us that cultures show similar traditions but leave bias at
the door. DON’T ASSUME

Asian Americans- two questions

How they view mental illness
Hierarchy within home with the elderly

Pedophilic or all paraphilic d/o

Takes YEARS to cure
One week- identity triggers for poor behaviors
Rarely see people fully cured. Mostly age out of it.
Thinking about careplanning- identify triggers in first week.

**Normal development of school aged children

Slide that talks about sexually aware of
What age do they participate in certain play/experimentation/etc.

Anorexia-
Family structure is focused on perfection (essential to incorporate family)
S/s- don’t purge, just restrict
Amenorrhea – can lead to long term fertility problems
Lanugo
Hypotension
Low potassium
Trifecta for receiving treatment for Anorexia
BMI <15
Unstable VS
Unstable Electrolytes

Treatment for eating disorders

Allow as much control as possible
Pick what gives most control
If you meet your calorie goal today you can have 30 minutes extra on phone

Definitions of binging and purging

Cluster B
Histrionic
Antisocial
Borderline
narcissistic
Set boundaries for bad behaviors
Be consistent (staff member to staff member)

**borderline
Suicide? – many many many suicide attempts to elicit a rescue response (take it serious every
single time even if there is no threat)
Splitting? – they way they think (think in black and white)
Attention seeking? – self harm behaviors

Borderline personality disorder

Frequent suicidal threats to illicit a rescue response

Care of rape victims

-dont shower immediately -. Can be traumatizing and remove evidence
-allow them to lead conversation about trauma, don’t discourage or probe
All different response to rape or trauma

Cycle of battering and what takes place

Tension building
No physical abuse (women is walking on egg shells)
Acute battering—- provoke this?(women who will provoke so they can get in the honeymoon
phase)
Physical abuse
Honeymoon
Apologizing, promising to never hurt again

Kubler Ross stages of grief (text book has good examples of what a pt would say)
**Denial
**anger
**bargaining
**depression
**acceptance

S/s teenager dealing with trauma, grief

-acting out
-more defiant
-sexual promiscuity
-substance abuse

Bowlby’s stages – not comparing for the test

**shock and Numbness
“It doesnt seem real, its like she will walk through the door any minute”
**yearning and searching
“I look for signs that he is at peace, such as the wind blowing on my face when I am outside, or
him visiting me in my dreams”

**despair and disorganization

“Nothing will ever be the same or ok again, we were supposed to grow old together and travel”

**reorganization and recovery

“He would want me to be happy. We lived a good life together with a lot of good memories”

Hospice services
-available 24/7
-spiritual counseling
-counseling on death and dying
Mutlidisciplinary- nurses, aids, chaplains

Military children and families

Moving frequently is stressful for any age
In college not all credits transfer
Hard for spouses to find jobs
Hard to make new friends
Fall behind in school

Complimentary therapy for PTSD

**Hyponosis

Questions on each personality disorder

More than one questions on borderline and antisocial
10 questions on personality

Differentiate between schizoid and schizotypal

**schizoid- cold aloof, likes to be alone.
**schizotypal- magical thinking, messages from the dead
(listen to recording around 15 minutes)

Questions on each paraphilic disorder

Also compare and contrast
Teaching was effective….
NO QUESTIONS ABOUT CULTURAL FOOD, BURIALS, ETC.
QUESTION ABOUT (go listen to recording close to the end)
African Americans (bolded on PowerPoint) are they stay in culture and why
Latino Americans and structure in home regarding males and females
Pedophilic if aroused by PRE-PUBESCENT child