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