[Repeated negative feedback, resulting in feelings of 3. Client recognizes, verbalizes, and accepts possible conse-[Lack of positive feedback][Negative role models][Low self-esteem]13. Mechanical restraints or isolation room may be required Possible Etiologies (“related to”)perceived threats to positive self-regardbased on a self-protective pat tern that defends against underlying Defi● Outcome Criteria 1. Anxiety is maintained at a level at which client feels no need 4. Client does not harm self or others. 2. Client seeks out staff to discuss true feelings.^32 DEFENSIVE COPINGquences of own maladaptive behaviors.for aggression.the safety of client and others by the least restrictive nition:client’s right to expect the use of techniques that ensure means. if less restrictive interventions are unsuccessful. ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION Repeated projection of falsely positive self-evaluation It is
2 2506_Ch02_014-053.indd Sec1:32 506 Ch 02 014 - 053 .indDefiDiffiSuperior attitude toward othersGrandiosityHypersensitivity to criticismRationalization of failuresProjection of blame or responsibilityDenial of obvious problems or weaknessesLack of follow-through or participation in treatment or therapy[Neurological alteration related to premature birth, fetal [Dysfunctional family system][Child abuse or neglect][Unsatisfactory parent–child relationship]Diffi[Disorganized or chaotic environments]Hostile laughter or ridicule of othersd Sdistress, precipitated or prolonged labor]diminished self-worth]e ning Characteristics (“evidenced by”) culty establishing or maintaining relationships culty in perception of reality testingc 1 : 32 1 10/1/10 9:33:21 AM 0 / 1 / 10 9 : 33 : 21 AM