This should be followed by teaching the patient how to recognize when anxiety is building and to find alternative self-soothing behaviors. Consequently, trust building by the therapist is an important first step in therapy. These individuals tend to be manipulative and selectively report, even to the therapist, reflecting their deep underlying distrust. Treatment: These individuals are anxious and seek reassurance but are highly distrustful, so therapists’ reassurance has only limited success. Look for childhood experiences of ambivalent, angry caretakers whose nurturing would tend to be unpredictable and self-serving rather than child-responsive. Therapists have also described some as complaining of depression and suicidal ideation. Some can be self-punishing and self-degrading. In psychiatric settings, these individuals can exhibit delusions, hallucinations, loose associations, and disorientation. These individuals often exhibit addictive behaviors, as they find any experience that gives them relief from their anxiety and inner emptiness to be highly rewarding. They seek closeness and reassurance, as predicted by the Scale 7 elevation, but at the same time distrust it and act out as a way of preserving emotional distance and control. They experience approach-avoidance conflicts in their primary relationships. Individuals with 478 elevations often experience sexual difficulties, such as sexuality and aggression confusion, and they tend to act out sexually. Consequently, this predicts more severe difficulties with closeness, intimacy, and trust. When Scale 8 is also elevated, this adds low self-esteem and a history of self-esteem-damaging experiences. When both scales are elevated (see 47/74 codes), the profile predicts impulsive tension reduction, followed by guilt, anxiety, self-recrimination, and more acting-out behavior. The elevation on Scale 4 suggests acting-out behavior, distrust, and alienation, whereas the elevation on Scale 7 suggests neurotic reassurance seeking, guilt, and anxiety.
“This profile suggests impulsive and/or compulsive, alienated, acting-out behavior in order to immediately reduce tension. 478 was difficult to find online, so I put the info below in case anyone else gets it and/or just wants to check it out. I’m either a “Spike 4” because (Pd) was 10+ T score points higher than the other two high scales, a 48/84 because Scale 8(Sc) was the next highest, or a 478 because Scales 7(Pt) and 8(Sc) were seriously that close (within 2 T point scores of each other). They were the only three scales where T>65.
Anyway, Scale 4 (Pd) was my highest, Scale 8 (Sc) was second followed very closely by Scale 7 (Pt). Thinking of doing that made me feel vulnerable somehow. I like this better than posting the raw data.
0 kommentar(er)
