Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

Significant person displays protective behavior disproportionate (too little or too much) to client’s abilities or need forautonomy________________________________________________________________________________________________COPING, INEFFECTIVE FAMILY: DISABLING_____________________________________________________________________Diagnostic Division: Family Pattern AlterationsDefinition: The behavior of a significant person (family member or other primary person) disables his or herown capacities and the client’s capacities to effectively address tasks essential to either person’s adaptation tothe health challenge.SUPPORTING DATAETIOLOGYSignificant person with chronically unexpressed feelings of guilt, anxiety, hostility, despair, etc.Dissonant discrepancy of coping styles being used to deal with the adaptive tasks by the significant person and client amongsignificant peopleHighly ambivalent family relationshipsArbitrary handling of a family’s resistance to treatment which tends to solidify defensiveness as it fails to deal adequatelywith underlying anxietyDEFINING CHARACTERISTICSSubjective[Expresses depair re family reactions/lack of involvement]ObjectiveIntoleranceAbandonmentPsychosomatic tendencyAgitation, depression, aggression, hostilityRejectionDesertionTaking on illness signs of clientNeglectful relationships with other family membersCarrying on usual routines disregarding clients’s needsNeglectful care of the client in regard to basic human needs and/or illness treatmentDistortion of reality regarding the client’s health problem, including extreme denial about its exi stence or severityDecision and actions by family which are detrimental to economic or social well-beingImpaired restructuring of a meaningful life for self; impaired individualization; prolonged over-concern for clientClient’s development of helpless, inactive dependence________________________________________________________________________________________________COPING, INEFFECTIVE INDIVIDUAL_____________________________________________________________________Diagnostic Division: Emotional ReactionsDefinition: Ineffective coping is the impairment of adaptive behaviors and problem-solving abilities of aperson in meeting life’s demands and roles.SUPPORTING DATAETIOLOGYSituation crisesPersonal vulnerabilityNo vacationsInadequate support systemsPoor nutrition