Myk Psychiatric Nursing Notes 1

Myk Psychiatric Nursing Notes 1 • • • •

Psych focuses in feelings or self awareness. Beliefs determine feelings which affects behavior (manifestation of feelings) Sigmund Freud is the father of PSYCHOANALYSIS. What happens to childhood will affect adulthood.

STRUCTURE OF PERSONALITY ID • impulsive, want to, wants pleasure. • PLEASURE PRINCIPLE. • Guiding principle is PAIN AVOIDANCE. SUPEREGO • should not • small voice of God • to stop EGO • executive decision maker. • In touch with reality principle. ID DOMINANT PERSONALITIES Manic Anti – Social – experienced by serial killers Narcissistic SUPEREGO DOMINANT PERSONALITIES Obsessive Compulsive Anorexia Nervosa EGO – if destroyed result in impaired reality perception. Schizophrenia LIBIDO • Sexual energy responsible for survival. Oral Stage • 0 – 18 months evident. • ID is developed. *FIXATION – Person is stuck in certain developmental shape. *REGRESSION – Return to an earlier developmental stage. EGO – Developed on the 6th month. Anal Stage • 18 months – 3 years old. • Able to control bladder, bowel. • Best time for toilet training. • SUPEREGO is developed. TOILET TRAINING Good Mother------------------------ Bad Mother

Successful -----------------Dirty ---------------------- Clean -------------------------disorganized --------------- organized ------------------------- disobedient ---------------- obedient ------------------------- Anti-social ------------------- O.C ----------------------- Anal expulsive ----------- Anal retentive PHALLIC STAGE • 3 – 6 years old. • Experience pleasure by manipulating genitals. • Love – hate relationship. • Oedipus Complex boy loves parent of the opposite sex. • Imitates daddy called identification. • Castration fears. • Electra Complex girl loves parent of the opposite sex. • Imitates mommy called identification. • Penis envy. *Conscious – upper level of thinking. *Preconscious – tip of tongue. *Unconscious – protects us from traumatic experiences. LATENCY STAGE • 6 – 12 years old. • School age. • Separation anxiety. • Reading, Writing, Arithmetic. • Lasts for 6 years. GENITAL STAGE • 12 years old and above • Sexual reawakening. • Very important stage. PHARMA NOTES: ANTI - ANXIETY DRUGS • Valium • Librium • Ativan • Serax • Tanxene • Miltown • Equanil • Vistaril • Atarax • Ideral • Buspar ERIC ERIKSON • There is more to life than just sex. • Psychosocial Theory of development. • You can develop a positive side or a negative side. • Developmental task begins at 0 – 18 months. -------------------- POSITIVE ------NEGATIVE -------- FACTOR 0 – 18 mos. ----------Trust ------------ Mistrust ------------ Feeding 18 mos. – 3 yrs. ----Autonomy -------Shame & Doubt ---- Toilet Training

3 yrs. – 6 yrs. -------Initiative ---------- Guilt --------------Independence 6 yrs. – 12 yrs. -----Industry ---------Inferiority ------------ School 12 yrs. – 20 yrs. ----Identity ---------Role Confusion --------- Peers 20 yrs. – 25 yrs. ----Intimacy -----------Isolation --------------Love 25 yrs. – 45 yrs. ---Generativity --------Stagnation -----------Parenting 45 yrs. - above ----Ego Integrity --------- Despair ------------Reflection