Scribd
Upload
319 views1 page

468 U N I T 4: Nursing Care of Clients With Alterations in Psychosocial Adaptation

This document summarizes a model of the dynamics of depression using a transactional model of stress and adaptation. It shows that depression can result from a precipitating event like a loss combined with predisposing genetic, past experience, and existing condition factors. This leads to a primary cognitive appraisal of a threat to self-esteem. Due to weak ego strength, coping mechanisms are not used effectively and maladaptive defense mechanisms like denial and repression are used instead of adaptive grief. This can result in clinical depression.

Uploaded by

Mercy Jacob
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
319 views1 page

468 U N I T 4: Nursing Care of Clients With Alterations in Psychosocial Adaptation

This document summarizes a model of the dynamics of depression using a transactional model of stress and adaptation. It shows that depression can result from a precipitating event like a loss combined with predisposing genetic, past experience, and existing condition factors. This leads to a primary cognitive appraisal of a threat to self-esteem. Due to weak ego strength, coping mechanisms are not used effectively and maladaptive defense mechanisms like denial and repression are used instead of adaptive grief. This can result in clinical depression.

Uploaded by

Mercy Jacob
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

4092_Ch25_458-497 24/07/14 5:28 PM Page 468

468 UNIT 4 ■ Nursing Care of Clients With Alterations in Psychosocial Adaptation

Precipitating Event
(A Loss--Real or Perceived)

Predisposing Factors
Genetic Influences: Family history of depression
Possible biochemical alterations

Past Experiences:
Anger turned inward on the ego
Learned helplessness--numerous failures
Object loss in infancy
Defect in cognitive development

Existing Conditions: Inadequate coping skills


Lack of adequate support system
Possible neuroendocrine disturbances
Medication side effects
Other physiological conditions

Cognitive appraisal

* Primary *

(Threat to, or loss of, self-esteem)

* Secondary *

Because of weak ego strength, patient is unable to use coping mechanisms effectively.
Defense mechanisms utilized: denial, regression, repression, suppression, displacement, isolation

Quality of response

Adaptive Maladaptive

Delayed/ Exaggerated/
Uncomplicated
Inhibited Distorted
Bereavement
Grief Grief

Denial of
Loss
Clinical
Depression

FIGURE 25–2 The dynamics of depression using the Transactional Model of Stress/Adaptation.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy