A woman is brought to the hospital after having been badly beaten. She is withdrawn and does not want to talk with anyone. She is thought to have a schizoid personality disorder
Which response(s) would likely be most useful for working with this patient? (Select all that apply.) a. To establish a therapeutic relationship, be especially friendly and nice.
b. Explain clearly what to expect while assessing, and treat any injuries per routine.
c. Address their delusional thinking or paranoia as you would in schizophrenia.
d. Try to inject a bit of humor into the situation to relieve tension and anxiety.
e. Connect the patient with her support system to help her deal with the trauma.
f. Anticipate a somewhat detached response to the trauma and responders.
B, F
Patients with schizoid personality disorder are primarily different in their disinclination to develop relationships with others and their restricted range of emotions. They seem detached socially and emotionally and may not react to trauma in the manner that most people do. Although they will still be distressed and traumatized, it may express itself in a muted fashion. They are commonly detached, not interested in developing a relationship with ER staff or emergency responders, and likely will not converse freely. Contact with reality is usually not significantly impaired, and delusions or paranoia are not typical of this disorder. They do not usually respond to humor. They typically do not have a support system, are not close to others, and tend to live a solitary life.
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What will be an ideal response?