[Decreased ability to grasp ideas][Sleep deprivation]Within 1 week, client will be able to recognize and verbalize Short-term GoalGoals/Objectives●[Suspiciousness][Delusions of persecution]Defi[Delusions of grandeur][Impaired ability to make decisions, problem-solve, reason]Possible Etiologies (“related to”)[Biochemical alterations][Electrolyte imbalance][Psychotic process]^154 DefiEgocentricityInaccurate interpretation of environmentHypervigilance[Altered attention span]—distractibilitywhen thinking is non–reality-based.^ DISTURBED THOUGHT PROCESSES^ ning Characteristics (“evidenced by”) nition:●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION Disruption in cognitive operations and activities
2 2506_Ch07_145-160.indd 0154 506 Ch 07 145 - 160 .indBy time of discharge from treatment, client’s verbalizations will ideation. 3. Use the techniques of Long-term Goal 2. Do not argue or deny the belief. Use 1. Convey your acceptance of client’s need for the false belief, Interventions withrefld 0 ect reality-based thinking with no evidence of delusional therapeutic technique: “I understand that you believe this is stand what you mean by that. Would you please explain?”) accept the delusion as reality.ing. (true, but I personally fiwhile letting him or her know that you do not share the delu-fi c a t i o ndelusional ideas are not eliminated by this approach and the client or denying the belief serves no useful purpose, because sion. development of a trusting relationship may be impeded. 154 Examples:A positive response would convey to the client that you when communication refl “Is it that you mean...?” or “I don’t under-^ Selected Rationales nd it hard to accept.” consensual^ validation ects alteration in think-reasonable and Arguing with the seeking^ doubt^ clari- as a 1 10/1/10 9:34:50 AM 0 / 1 / 10 9 : 34 : 50 AM
