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Describe how they may present or manifest differently in patients. How does knowing this affect or guide your decision-making?

June 11, 2021
Christopher R. Teeple

The purpose of this assignment is to get us to think of symptoms in a different way From Table 1. on page 184 of the article, select a two maladaptive negative cognitions and research how they may be maladaptive in depression and anxiety. Anxiety may not be a clear as one would expect. Describe how they may present or manifest differently in patients. How does knowing this affect or guide your decision-making? Please no repeating others’ work.
The table:
YSQ-S3 Scale Description
Emotional Deprivation The individual thinks others are depriving him/her of the emotional support he/she needs, not offering protection and
understanding.
Abandonment/Instability The individual’s belief that other people will not be able to offer him/her emotional support due to their own instability,
absence, or possibility to leave them for someone else.
Distrust/Abuse The subject’s belief that others will eventually take advantage of him/her, intentionally deceiving or hurting, humiliating,
lying, or causing pain.
Social Isolation/Alienation The subject’s feeling of social isolation; the feeling that he/she is different from the others, thus being rejected from a
social group.
Defectiveness/Shame A schema which refers to an inferiority complex; the subject seeing himself/herself as incapable, worthless, a bad per-
son, as well fearful of no longer being loved when others notice these things.
Failure The subject’s conviction that he/she cannot correctly perform most actions, as well as the feeling that no matter how
hard they try, failure in the important areas of life is certain.
Dependence/Incompetence The sensation of being incapable of attaining daily goals and objectives without help and supervision from others; the
individual feels helpless.
Vulnerability to Harm/Illness The exaggerated fear of imminent catastrophes which can occur at any time and which cannot be prevented.
Enmeshment/Undeveloped Self The subject’s exaggerated need to be close to relevant people in one’s proximity (e.g. parents), thus involving an
exaggerated emotional relationship, leading to a certain degree of dependence and underdevelopment of the subject’s
autonomy and social identity.
Entitlement/Grandiosity The subject’s belief that he/she is superior to others, thus deserving special rights and privileges. A disproportionate
sense of superiority is revealed, the goal being to gain control and power.
Insuffcient Self-Control Low tolerance for frustration, lack of impulse control, diffculty controlling oneself, lack of discipline in order to reach
certain goals, emotional instability, a disproportionate need to maintain comfort.
Subjugation The subject aims to gain complete control over others.
Self-Sacrifce An exaggerated focus on satisfying other people’s daily needs, for the purpose of avoiding being seen as selfsh by oth-
ers, while at the same time wishing to maintain a relationship with the person the individual wishes to help.
Approval Seeking/ Recognition- The subject’s exaggerated need to obtain others’ approval and recognition, so that one’s self-esteem becomes depen-
Seeking dent on other people’s reactions.
Negativity/Pessimism The subject enhances the negative and pessimistic aspects of life, minimizing the positive and optimistic ones.
Emotional Inhibition The subject represses his/her actions, feelings, and spontaneous communication in order to avoid disapproval or a feel-
ing of shame.
Unrealistic Standards/ Hypercritical- The subject’s belief in perfectionism and completeness in reaching one’s goals, based on rigid “must”-like assumptions
ness and extremely high performance standards, with the purpose of avoiding criticism
Punitiveness The subject’s belief that people who do not satisfy his/her own standards should be punished for their “mistakes”. The
subject is also critical with one’s own person and fnds it diffcult to forget the errors of others

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