Author Question: The relationships of patients with borderline and narcissistic personality disorders move through ... (Read 57 times)

BrownTown3 · **on:** Jul 19, 2018

The relationships of patients with borderline and narcissistic personality disorders move through predictable stages. Initially there is idealization and overvaluation of the object and then disappointment when unrealistic needs are not met.

The nurse can predict that the final stages will be: a. devaluation and rejection of the object.
b. forgiveness and reinvestment in the object.
c. reaction formation to the object and distancing.
d. projection and incorporation of the object into a delusion.

Question 2

When the nurse suggests the patient communicate to her employer how overwhelmed she is by the workload, the patient responds, Yes but I'll get fired if I do that..

According to transactional analysis theory, this is an example of a(n) _____ transaction. a. ulterior
b. crossed
c. congruous
d. complementary

guyanai · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Devaluation and rejection are based on narcissistic injury. Based on the tendency to see people as all good or all bad, devaluation and rejection of the all-bad object are logical to the person.

Answer to Question 2

A
This is an example of the Why don't you? Yes, but.... game. On the surface the game involves two adults solving problems; in reality, one person is using the child ego state to show what a bad parent the other person is.