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By Peggy Martin (auth.)

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Extra resources for Care of the Mentally Ill

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Shortly after this she consulted her doctor because she felt depressed. Since then she has had six admissions to the psychiatric unit. She was last discharged six months ago and has had the regular support of the Community Psychiatric Nurse, Mrs Bryant. Greta demanded a great deal ofthe nurse's time ; recently she had used vague suicidal threats to arouse her concern. One morning Greta rang Mrs Bryant demanding an immediate visit. The nurse was unable to call at once, but promised to call later in the day.

This suggestion was put to Greta, but she was not very enthusiastic initially about the idea. The Community Psychiatric Nurse will encourage Greta to develop interests outside the home when she is discharged. 39 Rationale The nurse accepts the patient as she is and attempts to modify her behaviour through an understanding of her underlying problems. Evaluation The nurses guarded against Greta's manipulation by careful communication both with the patient and among themselves when giving and receiving reports.

The nursing student may also meet patients suffering from hysterical neurosis of which there are two main types: 1. Conversion hysteria. 2. Dissociative reactions. (a) Conversion hysteria In conversion hysteria an emotional conflict is unconsciously represented by a physical symptom. g. deafness, blindness, convulsions, loss of voice or hoarseness, visceral dysfunctions and paralysis. The condition of conversion hysteria has been called the great imitator, because of the many forms of disability which may be presented.

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