Low Self-Esteem

Low self-esteem is a mental disorder that may occur to someone, afraid to meet with other people, feeling useless. Early symptoms alone are visible. Following simple notion of low self-esteem
Low self-esteem is a personal assessment of the results achieved by analyzing the extent to fulfill the ideal behavior of self (Stuart and Sundeen, 1998: 227). According to Townsend (1998:189) low self-esteem is a self-evaluation of sense of self or negative self either directly or indirectly. The same opinion by Carpenito, LJ (1998:352) that 'low self-esteem' is a condition in which individuals experience negative self-evaluation of self or self. A conclusion, 'low self-esteem' is a negative sense of self, loss of confidence and failed to achieve the goals expressed directly or indirectly, decreased self-esteem can be situational or chronic or chronic.
Signs and symptoms
According to Carpenito, LJ (1998: 352); Keliat, BA (1994:20); behavior associated with low self-esteem include:
Subjective Data:

• Criticize yourself or others
• The feeling itself is very important that exaggerated
• Feelings of inadequacy
• Guilt
• Negative attitude to yourself
• Pessimistic attitude to life
• Physical pains
• A polarized view of life
• Rejecting self -
• Reduction self / self mocking
• Feelings of anxiety and fear
• Rationalize the rejection / away from the positive feedback
• Revealing personal failure
• Inability to set goals

Objective data:

• Productivity decreases
• Self-destructive behavior on their own
• Destructive behavior on others
• Substance abuse
• Withdraw from social relationships
• Facial expressions of shame and guilt
• Showed signs of depression (difficulty sleeping and eating difficult)
• Seems irritable / easily angered

Low self-esteem is often caused because of the individual coping ineffective due to lack of positive feedback, lack of support systems, the decline of ego development, the repetition of negative feedback, dysfunctional family system and immobilized in the early developmental stages (Townsend, MC, 1998: 366). According to Carpenito, LJ (1998: 82) coping ineffective individual is a state where an individual experiencing or at risk of an inability to handle internal or environmental stressor with due adequate resources (physical, psychological, behavioral or cognitive). Meanwhile, according to Townsend, MC (1998: 312) coping individual is not effective adaptive behavior disorder and a problem-solving ability in fulfilling the role of guidance and life.
Therapy generalist

Principle of action:

• Identify the capabilities and the positive aspects that are still owned by the client.
• Help clients assess the capabilities that can be used
• Help clients choose / set the ability to be trained
• Practice the ability of the selected client
• Give proper credit to the success of clients
• Help develop implementation schedule for the trainee's ability
• Evaluate the patient's ability to schedule daily activities
• Practice the ability of both
• Motivation clients include both capabilities into the daily schedule