ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01571.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01572.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Recent trends in psychiatry, such as shorter hospitalization and the renewed preeminence of biological treatments, are changing the practice of psychiatric nursing. The traditional tension‐reduction model of anxiety and defense mechanisms is less suitable for clients in shortterm settings where somatic therapies are often the treatment of choice. For nurse therapists who wish to do more than alleviate symptoms, object‐relations theory offers an alternative therapeutic framework that focuses on behavioral change, yet is suitable for seriously ill clients. Object‐relations theory allows the nurse to assess the developmental level of clients' behavior in terms of specific ego functions. Through therapeutic interventions focused on repairing developmental deficiencies in the client's ego, nurses can facilitate significant behavioral c

ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01573.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The Ego Competency Model (ECM) of Psychiatric Nursing provides a focus for the role and function of the psychiatric nurse. The ECM offers a framework for assessing the patient's level of functioning in terms of certain ego strengths and deficits. Emphasizing a balanced health/illness focus, the model identifies three major goals of psychiatric nursing. The ECM scale allows nurses to rate the client on specific ego functions in order to address patient care problems arising from deficits in ego functioning. Ego functions that are systematically assessed with the ECM include impulse control, reality testing, judgment, mood, object relations, activities of daily living, competency, self‐perception, thought process, and stimulus barrie

ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01574.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

While “structure” is a term that is widely used in psychiatric nursing practice, few nurse authors have clearly defined the concept. This article offers an operational definition of structure, and proposes a theoretical basis to the client's need for structure. A case presentation, as well as characteristics of an effective structure, are also descri

ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01575.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The problem of separation‐individuation is one of the core psychiatric nursing phenomena facing nurses in their clinical work. It comprises five separate but interacting component fears: existential‐separation fear, refueling‐separation fear, castration fear, aggression fear, and fear of outdoing the sibling. This article explains these fears, suggests five principles to guide nursing interventions, and includes clinical exa

ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01576.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

When you heard that a devastating earthquake hit the San Francisco Bay area, did you wonder what it might be like to be there, to be caught up in the nightmare? I was there. I was frightened. I am healing.

ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01577.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01578.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0031-5990    

DOI:10.1111/j.1744-6163.1990.tb01579.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY