chapter 5 Theoretical Basis of psychiatric Nursing Flashcards
who is Freud?
- unconscious
- preconscious
- conscious
He believed everything you do today is because something happened to you in the past.
PSYCHOANALYST is a therapeutic approach of assessing unconscious thoughts and feelings
ID- based on the pleasure principle “I want it now and I don’t care about anything”
EGO- the conscious self
SUPEREGO- moral “yes I want it but I need to do this before I get that”
Freud’s Psychoanalytic Theory experiences during _________ stages of life determine:
- Individual’s _____ adjustment patterns
- _______traits
early
lifetime
personality
Freudian Theory and Nursing
- conscious and unconscious influences dream analysis interpretation
- importance of individual talk sessions
- free association
- attentive listening
what is TRANSFERENCE?
what is COUNTERTRANSFERENCE?
clients develop feelings towards the therapist in relation to similar feelings toward significant persons as a child
unconscious feelings the health care worker has toward the patient ( nurse to the patient)
defense mechanisms to deal with conflicts in our lives
sublimation-?
ideas of cutting people become a surgeon
why is developmental model(freud) is important part of nursing assessment?
helps determine what types of interventions are most likely to be effective
Sullivan’s Interpersonal Theory
what is the purpose of all the behavior?
get needs met through interpersonal interactions and to reduce or avoid anxiety.
security operations - to describe measures the individual employs to reduce anxiety and enhance security
foundation for Hildegard Peplau’s theory
participant-observer
- mutuality
- respect for the patient
- unconditional acceptance
- empathy
who is Hildegard Peplau’s ?
mother of psychiatry
Peplau influenced by _________ work
Sullivans
what is psychodynamic psychotherapy?
similar to psychoanalysis, but focuses more on the clients present state, rather than his early life
LET’S TALK ABOUT WHAT IS HAPPENING NOW!!!!
flooding?
works by exposing the patient directly to their worst fears but you have to warn before you do it! not like Edna’s husband
systematic desensitization
gradually exposure to the stimulus causing anxiety
For example: first you shoe the head of the snake then the body of a snake.
aversion therapy
therapist use unpleasant stimuli to promote a change in the behavior
example: smoking and taking (antebute) they will never smoke again.
cognitive behavioral therapy (Aaron Beck)
test________ beliefs and ______way of thinking; reduce symptoms
who does it help the most?
distorted, change
getting ready for public speaking and feel nervous, then you perform self talk “I’ve done this before, just take deep breaths”
people who do drugs
Maslow Hierarchy Needs
self-actualization
when lower needs are met, higher needs are able to emerge
