00:01
If you have a patient who has a
paranoid personality disorder.
00:07
Understand that it comes with
certain characteristics.
00:11
For example,
they do not trust you.
00:14
This excessive
and pervasive mistrust
is in every thing that they do.
00:20
It's not just about you.
00:22
It's really important for us,
as nurses
to remove ourselves
as being an important part
of that person's life.
00:30
And instead,
see the person for who they are
and understand that their mistrust
is not something that
they have control over.
00:39
This feeling of suspiciousness
is not purposeful towards us.
00:46
It is actually part of
their thought composition.
00:50
They also may suspect other people.
00:53
They might tell you,
"Oh, my roommate
really wants to hurt me.
00:57
I'm having a hard time
sleeping at night
because I know that my roommate,
as soon as I go to sleep
is going to do something to me,
that's really bad."
There doesn't need to be
any evidence of this.
01:10
Again, I want for you,
as a nurse
to really find
in your heart and in your soul.
01:16
And imagine how difficult
it must be
to see the world
through the eyes of someone
who cannot trust.
01:25
Also, when we are thinking about
the person who has paranoia,
they might have jealousness.
01:33
There's a jealousy
that comes in
where they want to then control
the people around them.
01:38
They might be looking at you
and thinking,
"Well,
this person seems to like me,
but then I see,
I see that person talking to Mr. X.
01:49
And she seems to be
just as nice to Mr. X.
01:52
I think I want to make sure
she doesn't talk to Mr. X, again."
Again, remember,
they don't have control
over these kinds of thoughts.
02:02
We want to make sure
that we are helping them
to very slowly understand that
it's not only about them.
02:12
Their preoccupation
with everyone around them,
with worrying that
someone has more than them,
or someone's out to get them.
02:20
Or it just seems like in the world,
no matter where they land,
their boss doesn't likes them.
02:27
This is part of their
thought composition.
02:30
It's what their story is.
02:32
It's how they walk out
of their house.
02:35
They might be very reluctant
to even talk to you
about anything.
02:39
They're suspicious of you.
02:41
They want to keep all of their
information to themselves,
because information is power.
02:47
And that would be sharing
their power with you.
02:51
And finally, they can be
very, very sensitive to criticism.
02:56
Even something that
you don't think is criticism.
02:59
They might take it and
really hold a grudge against you
for something you said,
something that
you don't even understand.
03:07
So let's just take
one little step back
and wonder how
this can develop in a person.
03:13
And if you can imagine a child,
a child who is not safe.
03:17
A baby who is not safe
in their own house.
03:21
And how everything
that is done or said
is made to them
to be the reason why
mom doesn't ever have
anything fun in our life.
03:31
Or the reason why,
dad is drinking,
Or why don't you just shut up
as a baby whose still
trying to learn how to speak.
03:40
And realizing that
the only way to save yourself
at the age of two
would be to worry about
everyone else
because everyone
is a threat to you.
03:52
And that gets cemented in
as a pattern of thinking
in your own mind.
03:58
So let's think about a patient
who might have
a paranoid personality disorder.
04:03
So when told
that he was scheduled
that to interview a patient with
a paranoid personality disorder,
the student nurse
anticipated finding, what?
What could the student nurse
think would be
what he sees or she would see?
A charming, dramatic, seductive,
and admiring seeking person?
A person who had a
preoccupation with suspicion,
magical thinking, and distrust.
04:33
Perhaps a person who had
a difficult time being alone,
who is submissive,
indecisive.
04:41
Or perhaps somebody who had
grandiosity.
04:44
Somebody who felt that
they were entitled to everything.
04:47
We just talked about this
paranoid personality disorder.
04:52
And if you said it would be B,
you are 100% right.
04:56
This is the person
who has suspicions
and who has distrustful
of just about everyone,
and who believes
that magical thinking is the answer.