Term Paper: Aapt Level IV Cert

Pages: 12 (4244 words)  ·  Style: APA  ·  Bibliography Sources: 12  ·  Level: Master's  ·  Topic: Psychology  ·  Buy This Paper


[. . .] The most important issue to consider is that an addictive behavior does not have to an addiction to something like alcohol. Addictions can form to nearly anything. Realizing that there is a true problem is the client's first step toward improvement. While discussing the reasons behind the addiction can be helpful, the client will also want to focus on how to avoid the behavior and not go back to using or abusing the substances for which he or she originally sought therapy. Without healthy, learned behaviors to use when temptation is nearby, the client will not be able to avoid the substance(s) to which he or she was addicted. Many counselors work with clients to help them determine who in their lives may be causing them to revert back to their old ways, so they can avoid those people or find healthier ways to deal with them.


Manipulation is defined as exerting devious or shrewd influence for a person's own advantage (Wittchen & Jacobi, 2005). This is often used by people who have anti-social personality disorder. The psychopathology of anti-social personality disorder is important because most people are social without actually thinking about it. Humans are social creatures, and they like to be around other humans and work together for a common goal. People with anti-social personality disorder and similar issues, however, do not like to be around others and can even be hostile or harmful to other people (Wittchen & Jacobi, 2005). The psychopathology of adult anti-social behavior and malingering are also important. These are worth studying, because they tie into anti-social personality disorder but yet are slightly different. For example, adults can be anti-social without having an actual, diagnosable disorder. Additionally, malingering, or faking or exaggerating an illness to avoid work or some other duty, is anti-social in a different way than most would think of it, but still within that criteria.

There are important processes and procedures for caring with manipulative clients, such as challenging the client when he or she begins anti-social or malingering behaviors. These clients often have these kinds of behaviors so ingrained that they are just a part of life and can be difficult to change. The client may not even realize that he or she is performing the behaviors, especially if the behaviors have been ongoing for a very long time. Recognition is very important when it comes to addressing and correcting behaviors. Until the client realizes that his or her manipulation is harming himself or herself and other people, there is little that can be done to correct the issues. Talk therapy can help the client realize the damage that the behaviors are causing, which can then lead him or her to want to make a change. From that point, techniques can be taught that will help avoid manipulation.

Schizophrenia and Paranoid Disorders

The psychopathology of schizophrenia is particularly significant, because schizophrenia is not something that can be addressed and improved through talk therapy or cognitive behavioral work. Medication is necessary for people who have this disorder, as many of them have trouble functioning in society without it (Akiskal & Benazzi, 2006). Even properly medicated, the schizophrenic person can still struggle. Unfortunately, many people stop taking their Medication, and that can lead them to regress back to deviant or even dangerous behaviors brought on by the voices they hear inside their heads. There are also delusional (paranoid) disorders and personality disorders such as schizoid, paranoid, and schizotypal that have significant psychopathology attached to them but are not the same as actual schizophrenia (Kato, 2011). There are many clients who mistrust in different ways and at different levels, and it is very important to use the proper process and procedures when caring for them.

These include finding ways to make the client feel as safe as possible during the therapy sessions. Clients who do not feel safe will not open up to the therapist, and that makes it much more difficult to help them. It is often necessary to medicate clients who exhibit paranoia to get them to a level where their thinking is more rational and they are open to other techniques that will improve their lives. However, one of the main problems comes into play because paranoid client may not be comfortable taking medication. They may feel as though the therapist is going to poison them or give them something that will control or otherwise harm them. This is a serious concern for treating clients who have mistrust issues, and cannot always be corrected. Some people who have schizophrenia and related disorders live in institutions because they cannot handle life on their own. While that is not the desired outcome, it is sometimes required for clients with severe mistrust disorders.


The three most important skills for the psychiatric technician are different based on the level he or she has attained. These are very important to focus on, because the technician must advance in his or her career. In addition to the education attained, there is significant information gained through work and interaction with clients who have various mental health issues. As a psychiatric technician moves through the levels of educational and work attainment, he or she is expected to know more and be able to handle more. As such, there are skills that should be developed at every level. At the lower levels, the skills will be less critical to the actual process and will be skills that are more expected or more common, while higher levels will require more specialized skills. These skills are:

Level One (HS diploma and work in the field): Listening, intake of patients, filling out forms. These are basic skills that will be learned early on and that can be expected to be used throughout a career.

Level Two (30 college credits and one year experience): Observation, patient assessment, patient education. As a technician develops his or her skills further, more is required of him or her on a daily basis.

Level Three (60 college credits and two years experience): Basic nursing, treatment plan development, treatment evaluation. Not only is the technician comfortable caring for patients at this point, but he or she should also be comfortable making decisions about that care.

Level Four (Bachelor's degree and three years experience): Medication administration, therapeutic activities, group process. At this point, the technician should be working unattended most of the time, and should be comfortable carrying out treatment plans and making decisions to properly care for the patient.

Essay Questions

Level One Essay Question: How can the psychiatric technician best learn to care for patients on a day-to-day basis?

This question is good for this level because it is very basic. During the time that a technician is just learning to do things, he or she needs to take things slow and work carefully with others in order to understand everything that really needs to be done. If the technician tries to do too much too soon, patient care could suffer because the technician will not have learned to properly care for the patient in the right way when it comes to daily activities and treatments the patient needs.

Essay Question Answer: To learn to properly care for a patient on a daily basis, a technician should be careful about doing things too quickly. Having a checklist can help, but there are generally differences between patients that are often relatively significant. With that in mind, making a checklist of the basics may help but the technician still has to take the time to learn about each individual person in his or her care in order to make sure those people are taken care of properly each day. There can be a significant number of daily tasks for a particular person, depending on their level of need. If the technician does not learn this, and also does not learn the proper way to handle the tasks themselves, he or she could end up with a high level of difficulty when it comes to completing the work each day and making sure all of the patients under his or her care have what they need.

Comments: Each technician and each patient is different. It is very important to keep that in mind, and not assume that everyone can be handled the same way. By understanding how to perform all the tasks correctly, the tasks can be mixed and matched to accommodate the patients no matter what they need.

Level Two Essay Question: What are the reasons for learning to record vital signs and other patient information?

This question is good for this level because technicians who have been working in the field for a while are learning how to do more things. They are still caring for the patient on a daily basis, but they are also becoming more focused on working with the patient to provide nursing… [END OF PREVIEW]

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