Ch 3 Flashcards
Freud’s psychoanalytic theory
Personality structure
Id
Ego
Superego
Experiences during early stages of life determine individuals lifetime
Id
Pleasure principle
Reflex action
Primary process
Ego
Problem solver
Reality tester
Superego
Moral component
Levels of awareness
Conscious
Preconscious
Unconscious
Conscious mind
Current awareness
Thoughts
Beliefs
Feelings
Preconscious mind
Immediately below the surface
Not currently the subject of our attention but accessible
Unconscious mind
Biggest chunk
Seat of primitive feelings, drives, memories (especially unbearable and traumatic)
Freud’s psychoanalytic theory defense mechanisms
Develop anxiety
Operate on unconscious level
Deny, distort, falsify reality making it less frightening
Sullivan’s theory
Meet needs through interpersonal interactions to decrease or avoid anxiety
Interpersonal theory
“Participant observers”
Actively fluid and challenge maladaptive behaviors and distorted views
Carl Rogers person-centered therapy
People have innate self-actualizing tendencies
Rational- emotive behavior therapy
Ellis
Eradicate irrational beliefs
Recognizes inaccurate thoughts
Cognitive-behavioral therapy
Beck
Tests distorted beliefs and changes way of thinking
Reduces symtoms
Psychopharmacology
Promises biological treatment for mental disorders
Electroconvulsive therapy (ECT)
Effective treatment for severe depression and other psychiatric conditions
Stages of Cognitive development
Piaget
Sensorimotor (birth-2) obj permanence
Preoprational (2-7) languages and egocentric thinking
Concrete operational (7-11) conservation, logic, abstract problem solving
Formal operational (11-adult) conceptual reasoning and problem solving
Theory of objective permanence
Mahler
Significant other provides a reliability present base of support
Balance enables child to learn to separate
Kohlberg (moral development)
Based on Piaget
Profession from black and white thinking to context-dependent decision making process
Gillian (moral development)
Ethics of care theory
Emphasizes importance of relationships
Putting needs of those we care above needs of strangers
Preconventional, conventional, post conventional stages
Hildegard Peplau
The art of nursing
The science of nursing
The art of nursing
care, compassion, advocacy
Enhance comfort and well being
The science of nursing
Apply knowledge to understand broad range of human problems and psychosocial phenomena
Intervene in relieving patients suffering and promote growth
Foundation for Hildegard’s theory
Participant observer Mutuality Respect for patient Unconditional acceptance Empathy
Behavioral theory
Promoting adaptive behaviors through reinforcement
Cognitive theory
Helping patients identify negative thought patterns
Psychosocial development
Providing structure for understanding critical junctures in development
Hierarchy of needs theory
Prioritizing nursing care
Unique meaning in psychiatric nursing
Emphasis on adaptive living
Not a cure
Patient centered goals and responsibility
Listening
Respect for patients desires
Areas of emphasis
Hope Social connection Empowerment Coping strategies Meaning in life
Tuckmans five group stages
Forming Storming Morning Performing Adjourning (mourning)
PMH-APRNs
Psychiatric mental health advanced practice nurses
Receive special training in conducting such groups
Milieu therapy
Uses total environment
People, setting, structure, emotional climate are important to healing