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Psychosocial - Wk 1

Mental Health ability to adjust and cope to everyday stresses
Mental Illness clinically significant behavioral or psychological syndrome or pattern that occurs in an individual outside of socially acceptable behavior
Nature vs Nurture environment vs genetics; Genetic markers that make people pre-disposed to mental illness; Divorce=enviroment/depression=genetic predisposition
”Empty Bucket” syndrome Not filling up your bucket w/ good things, but depleting your bucket
Physiological Needs Needs having to do with physical processes in the human body
Psychosocial Needs Needs having to do with relationships within oneself and others.
Psychotherapeutic Management Model for Nursing care that balances the three primary intervention models used by psychiatric nurses; psychotropic drugs, Milieu management, Therapeutic communication
Psychotropic Drugs SSRIs and Antipsychotic
Milieu Management pts feel safe and secure (in the unit)
Therapeutic Communication
Psychoanalytic Model Developed by Sigmund Freud; Personality formed during first 6 yrs. of life; Emphasizes unconscious processes or psychodynamic factors as the basis for motivation and behavior; Defense mechanisms protect against anxiety; Change is a process of insight
Freud: Psychoanalytic Model Key Concepts Personality consists of three processes that function together as a whole to bring about behavior Harmony = Stability Disharmony = Conflict
Id Operates on pleasure principle
Ego focuses on “reality principle”
Superego concerned with right and wrong (conscience)
Freud 3 parts of the Mind Conscious; Unconscious; Preconscious
Freud Goal of Therapy bring unconscious into consciousness allowing insight into causes for current behaviors
Psychoanalysis Free Association & Dream Analysis
Eric Erikson: Psychosocial - Developmental Model Biopsychosocial-environmental emphasis Personality development occurs in stages Spans total life cycle Growth reflects mastery of critical tasks Lack of mastery at each stage results in developmental deficits
Erikson's Eight Stages of Development: Life Tasks & Virtues Learning Basic Trust vs.. Basic Mistrust (Hope); Learning Autonomy vs. Shame (Will); Learning Initiative vs. Guilt (Purpose); Industry vs. Inferiority (Competence); Learning Identity vs. Identity Diffusion (Fidelity); Learning Intimacy vs. Isolation (Love
Developmental method Relevance to Nursing Practice Assessment – behavioral manifestations Therapeutic Interventions
Jean Piaget’s Cognitive Development Theory Believed that human intelligence progresses through a series of stages based on age Believed that biologic changes and maturation were responsible for cognitive development
Piaget's 4 Phases Sensorimotor Phase – birth to 2 years Preoperational Phase – 2 to 7 years Concrete Operations Phase – 7 to 11 years Formal Operations Phase – 11 to 15 years
Abraham Maslow’s Hierarchy of Basic Human Needs American psychologist – needs and motivations of individuals Focus on total person, emphasized health instead of illness/problems Assumed basic needs would dominate behavior until met Changes during life crises
Maslow's 5 stages 1. Physiological 2. Safety 3. Social 4. Esteem 5. Self-Actualization
Created by: MarieG