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Aloneness in tenuous self-states.

Perspectives in Psychiatric Care

|January 1, 1991

Summary

This summary is machine-generated.

Severely impaired clients use violence and manipulation to control internal chaos. This article offers nursing strategies to enhance their self-cohesion and improve therapeutic relationships.

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Area of Science:

Psychology
Psychiatric Nursing

Background:

Clients with severe impairments often exhibit behavioral patterns of violence and manipulation.
These behaviors stem from attempts to manage internal environments threatening self-cohesion.

Observation:

Labels like "uncooperative" and "manipulative" are frequently applied, often with negative connotations.
Understanding the underlying psychological drivers is crucial for effective intervention.

Findings:

Clients utilize violence and manipulation as control mechanisms.
These tactics are a response to perceived threats to their sense of self-cohesion.

Implications:

Nursing interventions should focus on fostering self-cohesion in clients.

Adopting therapeutic approaches can reframe negative labels and improve client outcomes.

Effective strategies can enhance the therapeutic relationship and client well-being.