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    This document provides an overview of Freud's psychosexual stages of development, including the oral, anal, phallic, latency, and genital stages. It also discusses concepts like the conscious, preconscious, and unconscious levels of awareness. Transference and countertransference between clients and therapists are defined. Several theories of psychiatric nursing are outlined, including Erikson's psychosocial stages of development and Sullivan's interpersonal theory. Different therapeutic modalities are then reviewed, such as psychotherapy, milieu therapy, exercise therapy, music therapy, and more. The document concludes with topics on psychopharmacology, describing anti-psychotic medications and their effects and indications.

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    This document provides an overview of Freud's psychosexual stages of development, including the oral, anal, phallic, latency, and genital stages. It also discusses concepts like the conscious, preconscious, and unconscious levels of awareness. Transference and countertransference between clients and therapists are defined. Several theories of psychiatric nursing are outlined, including Erikson's psychosocial stages of development and Sullivan's interpersonal theory. Different therapeutic modalities are then reviewed, such as psychotherapy, milieu therapy, exercise therapy, music therapy, and more. The document concludes with topics on psychopharmacology, describing anti-psychotic medications and their effects and indications.

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    31 views8 pages

    Freuds Psychosexual Stages of Development Oral Stage

    Uploaded by

    ejg26
    This document provides an overview of Freud's psychosexual stages of development, including the oral, anal, phallic, latency, and genital stages. It also discusses concepts like the conscious, preconscious, and unconscious levels of awareness. Transference and countertransference between clients and therapists are defined. Several theories of psychiatric nursing are outlined, including Erikson's psychosocial stages of development and Sullivan's interpersonal theory. Different therapeutic modalities are then reviewed, such as psychotherapy, milieu therapy, exercise therapy, music therapy, and more. The document concludes with topics on psychopharmacology, describing anti-psychotic medications and their effects and indications.

    Copyright:

    © All Rights Reserved
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    of 8

    12-15-14

    Topic 4
    M
    A
    N
    O
    A
    Freuds psychosexual stages of development
    Oral stage
    -

    0-18 months
    Survival: eat drink cry and sucks
    The child cries

    Feed the infant


    infant
    Successful

    ignore the
    not important
    Narcissistic

    Anal stage
    -

    18mo 3yrs
    Toilet training
    o Good mother
    Successful
    SE
    o Bad mother
    Clean obedient organized
    Oc
    Dirty disorganized disobedient
    Antisocial

    Phallic stage
    -

    Penis
    Vagina
    Parent role model
    Preschool
    Latency
    6-12 yrs
    Reading
    Writing
    Rithmetic
    Giving

    Genital

    Three levels of awareness


    1. Conscious
    a. Reality principle
    b. Perceptions thoughts and emotions that exist in persons awareness
    c. The smallest part
    2. Precocious/subconscious
    a. Thoughts and emotions are not currently in persons awareness but can
    recall with some effort
    b. Watchman of the mind
    c. Partially forgotten but remembered
    d. Under control of superego
    3. Unconscious
    a. Largest part storage bin of painful traumatic meaningful memories
    b. Memories that are forgotten but still with accompanying feelings that
    affect and influence behavior
    Transference
    -

    Client displaces onto the therapist attitude and feelings that the client
    originally experiences in other relationships
    Unconscious projection of feelings towards the therapist that previously
    belong to other important persons in the clients life
    Client to nurse + or

    Countertransference
    -

    When the therapist unconsciously displaces onto the clients attitudes or


    feelings from his her past
    Nurse to pt

    Theoretical basis of psychiatric nursing


    Erik Erikson psychosocial
    -

    Trust vs mistrust
    Autonomy vs shame and doubt
    I nitiatice vs guilt
    Dusty vs inferiority
    Density vs role confusion
    Macy vs isolation
    Generativity vs stagnation
    Tegrty vs despair

    Interpersonal theory by harry stack Sullivan


    -

    Stage infancy
    Age 0-18 months
    Task body contact and tenderness to gain security and avoid anxiety
    Stage juvenile
    Age 6 to 9 years

    Task develop peer relationships


    Stage preadolescent
    Age 9 to 12 years
    Task develops same sex relationship
    Stage early adolescence
    Age 12 to 14 years
    Task develop opposite sex relationship
    Stage late adolescence
    Age 14 to 21 years
    Develops satisfying relationship
    Stage young adulthood
    Age 21 and above
    Task establishes love relationship economically stable

    Bf skinners: operant conditioning


    -

    Behaviors can be changed through a reward and punishment


    Positive or negative reward

    Reality therapy by William glasses


    -

    Help patients face reality and then to develop responsible behavior patterns
    so their needs for love worn can be met

    Cognitive behavioral theory by Aaron beck and albert Ellis


    -

    Replacing irrational thinking with rational thinking to reduce dysfunctional


    feelings and behaviors

    Eclectic approach
    -

    Picking concepts from various models that best explains the patients
    behavior problems and needs

    Therapeutic modalities
    Psychotherapy
    -

    Treatment of emotional personality problems and disorders by psychological


    means
    A. Indidual therapy
    a. Also known as direct interview psychotherapy
    b. One on one relationship between the tjerapist and the client wjo
    engage in a series of interactions over a period of rime witj an agreed
    upon purpose of change in a clients vejavoor
    B. Group therapy
    a. Processes that occur in a formally organized groups designed to
    change maladaptive or indefinable behaviors
    b. A type of treatment that involves group of people meet at planned
    times with a qualified therapist to focus on self awareness and
    inderstanding of oneself improving interpersonal relationsjip and
    making behavior changes
    c. Focus is here and now not the past

    C. Family therapy
    a. Form of group therapy In which the client and his family members
    participate
    b. Family identity roles
    c. Focus is family not pt
    Milleu therapy
    -

    Provides a safe environment that is adapted to theomdividial clients needs


    and also provides a greater comfort and freedom of expression

    Milieu
    -

    Physical and social environment in whichand individual lives


    Mustbehighly constructive home and organized

    Indications:
    Alzheimer
    Manic
    Autism
    Suicide
    ADHD
    Exercise therapy
    -

    Body health

    Goal
    Music art dance therapy
    Indications for withdraw and depress
    Goal to establish self awareness confidence readiness skills co ping skills social
    behavior and may also provide pain management
    Remotivation therapy
    Goal: to reach a unwounded areas of a persons personality in order to get them
    moving once again in the direction of reality
    Indications regressed and long term patients
    Guidelines:
    -

    Should not talk about wounded area of pt life


    Should pe neutral
    Should not be about
    o Religion
    o Family
    o God

    o Love
    o Life of pt
    Neutral topics
    o Geography
    o Hobbies
    o History
    o Science
    o Literature
    o Sports
    o Nature

    Procedure
    -

    Climate of acceptance
    Bridge to reality
    Sharing the world we live in
    Appreciation of the world we live in
    Climate appreciation

    Bibliotherapy
    -

    Use of printed words s means of modifying or stimulating the emotions and


    providing information
    Indication depress

    Occuspational therapy
    -

    Systematic use of manual l task and jdcradt om treatment o mentally ill


    Goal facilitate exressipm of feeling commimication with others and
    socialization

    Recreational therapy
    -

    Provide opportunity for fun

    Play therapy
    -

    For 3 to 12 years

    Attitude therapy
    -

    Kind firmness
    o To be firm
    o Indications
    Matter of fact
    o Explain routine
    o Indication manipulative alcoholism passive aggressive
    No demand
    o Giving mo demands
    o Indication confused and assaultive

    Biofeedback

    Mind over matter think you can do it.

    Guided imagery

    Topic 5
    Therapeutic modalities, and psychosocial lskills busing strategies
    Electro convulsive therapy
    -

    It involves the use of electrically induced seizures for temporary relief of


    psychiatric disorder
    Started 1938by ego cerlettiand luciano bin italian psychiatrist
    Refferwd as et or St
    o Indication
    o 1 for major depression 85 to 90
    o Mania
    o Postpartum psychosis
    o Catatonic schizophrenia
    o Parkinson
    o Pt who does not respond tdrugs
    o Contraindications
    o MI
    o Angina
    o Chef
    o CSV
    o Bone fractire
    o Cranial lesion
    o Frequency
    6 to 15 treatments for 3x a week
    70to 150 volts for 0.5 to 2 seconds
    o Grandma/tonic clonic seizure for 30 to 60seconds collectively 220to
    250 seconds
    o Maintenance once a week for 6 to 12 months

    Nursing intervention pre ect


    Npo
    Atropine/gycopyrrolate robinil
    Dry mouth decreases aspiratipm vagal stimulation and arrhythmia 30
    mins prior im/iv 0.4 to 0.6mg
    Barbiturate methohexital Na brevital Na or thiopental Na pentothal iv 50
    to 120mg anesthetic
    Succinylcholoneanectine iv 0.6mg/kg muscle relaxant
    Other nursing intervention pre ect

    Explain procedure
    Consent signed
    Vs base line
    Void
    Remove dentures hairpins contacts metal
    Blood chemistry

    Nursing intervention during ect


    -

    Ready ecg
    Piles oximeter
    O2 bedside
    Stay with patient

    Nursing intervention post ect


    -

    Priority airyway
    Position side lying
    Pulse oximeter
    O2 bedside
    Vs q15
    Expect side effect
    o Ha and n
    o Temp memory loss
    Intervention orient the pt
    Do not feed
    o Intervention check gag reflex

    Insulin shock therapy


    -

    Discovered by Manfred sake 1933


    The induction of hypoglycemic coma very dangerous
    No longer used in psychiatry

    Psychosugery
    -

    Brain surgery performed on normal or deceased tissue


    For dep
    Russian anxiety odd and aggression

    Topic 6
    Psychopharmacology
    Anti-psychotic
    -

    Also known as major tranquilizer or neuroleptics


    Used for psychotic disorders
    Block activity of dopamine
    Do not withdrawal abruptly seizure
    Effects and indications of antipsychotic

    Antagonize Para; anticholinergic


    Behavior effect
    Cognition
    Drive for sex decreased
    Eliminate ha caused by migrane and n and v prevention
    Falling asleep effect of sedation
    A. Classification accord Ng ro generation
    1. Typical for. (+) tendency for. Eps
    2. Atypical for (+) and (-) s/sx low tendency of Eps

    Positive sign of schizophrenia (hard manifestations)


    Hallucinations
    Illusion
    Loose of association
    Delusion
    Agitation
    Paranoia
    Insomnia
    Psychiatric terminologies
    Negative signs of schizophrenia (soft manifestation)
    Poor judgment
    Poor insights
    Poor self care
    Amnesia
    Alogia
    Anergia
    Anhedonia
    Avolition
    B. Classified according to chemical class

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