Chapter 2 Theories and Therapies Flashcards

(68 cards)

1
Q

What is one of the most anxiety provoking activities?

A

Dealing with other people

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2
Q

What do Psych theories help us do?

A

provide plausible explanations for perplexing behavior

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3
Q

Name the 3 parts of consciousness according to Freud

A

Conscious
PreConscious
SubConscious

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4
Q

Explain Conscious Mind

A

TIP OF ICEBERG
Perceptions Memories Thoughts
Fantasies Feelings

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5
Q

Explain PreConscious Mind

A

Just below the surface
Material that can be easily retreived.

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6
Q

Explain UNConscious Mind

A

Unconscious Mind

Repressed memories passions unacceptable urges

Memories and emotions associated with TRAUMA

Needs therapy to retrieve this material

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7
Q

Freud’s Three Major Parts of Personality

A

Id, Ego, Superego

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8
Q

ID

A

Birth

Unconscious

Impulsive

Cannot tolerate frustration.

Cannot problem solve and is illogical

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9
Q

EGO

A

Found in conscious, subconscious, and unconscious awareness.

Problem solver.

Develops with a few years of life.

You have to delay gratification.
If you are hungry - plan how to get food.

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10
Q

SUPEREGO

A

Age 3-5 years

Also found in all 3 levels of awareness.

Moral component

ALL the should NOT’s

If too strong, person will feel inferior and self-critical

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11
Q

What is the purpose of

DEFENSE MECHANISMS?

A

Helps to ward off anxiety by preventing

conscious awareness of

threatening feelings.

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12
Q

Name 2 features of

DEFENSE MECHANISMS

A
  1. Operate on unconscious level (except suppression)
  2. They deny, falsify, distort reality to make it less threatening.
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13
Q

Name some Defense Mechanisms

A

Altruism

Compensation

Conversion

Denial

Displacement

Dissociation

Identification

Intellectualization

Projection

Rationalization

Regression

Repression

Splitting

Sublimatioin

Suppression

Undoing

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14
Q

Oral Stage

Age?

Source of satisfaction?

Primary Conflict

Task?

A

0-1 year

Mouth

Weaning

Mastery of gratification of oral needs

Ego begins 4-5 months

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15
Q

Desired Outcome of Oral Stage

A

Trust in environment

Realization that needs can be met

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16
Q

Fixation at Oral Stage

A

Passivity, gullibility dependence

Sarcasm

Oral habits - smoking, nail biting

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17
Q

Anal Stage

Age?

Source of Satisfaction?

Conflict

Tasks

A

1-3 years

Anal Region - expulsion/retention of feces

Toilet training

Begins self-control over instinct, delayed gratification

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18
Q

Anal Stage

Desired Outcome

A

CONTROL OVER IMPULSES

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19
Q

ANAL STAGE

FIXATION AT

A

Anal retentiveness -

Stingy, rigid, OCD or

Anal expulsive -

Messy, destructive, cruel

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20
Q

PHALLIC STAGE

Age

Source of Satisfaction

Conflict

Task

A

3-6 years (oedipal)

Genitals masturbation

Oedipus and Electra

Identify with parent of same sex

Beginning of superego

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21
Q

Phallic Stage

Desired Outcome

A

Identification with parent of same sex

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22
Q

Phallic Stage

Fixation

A

Reckless, self-assured, and narcissistic person

lack of resolution may result in inability to love and issues with

sexual identity

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23
Q

Latency Stage

Age

NO Source of Satisfaction

NO primary conflict

Tasks

A

6-12 years

growth of EGO -

ability to care and relate to others outside home

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24
Q

Latency Stage

Desired Outcome

A

Development of skills to cope with environment.

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25
Latency Stage Fixation
Difficulty identifying with others and developing social skills Sense of inferiority and inadequacy
26
Genital Stage Age Source of Satisfaction NO primary conflict Task
12 years and beyond Genitals, sex Develop satisfying sexual and emotional relationships emancipation from parents Planning life goals personal identity
27
Genital Stage Desired Outcome
The ability to be creative and find pleasure in love and work.
28
Genital Stage Fixation
Derails emotional and financial independence impair personality identity and goals disrupts ability to form satisfying intimate relationships
29
Name 3 tools of Classic Psychoanalysis
Free association Dream analysis defense mechanism recognition (denial, projection, rationalization)
30
Name TWO Concepts From Classical Psycoanalysis
**Transference** affectionate or hostile feelings to healthcare worker that had originally in childhood for sig other **Countertransference** Feelings a healthcare worker has for patient. Need to be self-aware.
31
PsychoDynamic Therapy
Similar tools as original Short term for worried well not severe Here and now, not past More interaction between both
32
Freud and nursing process
understanding of childhood and personality development use ofConscious and Unconscious mind concept to understand root causes of suffering Attentive listening.
33
Who developed INTERPERSONALY THERAPY
Harry Stack Sullivan 1892-1942 USA Humans are driven by the need for interaction
34
What emotion did Harry Stack Sullivan believe was the most painful condition?
Lonliness
35
H S Sullivan believed what relationship was the most crucial for personality development?
The early relationship with significant other.
36
H S Sullivan said the purpose of all behavior was to get NEEDS met through _______ to reduce \_\_\_\_\_\_\_
H S Sullivan said the purpose of all behavior was to get needs met through **Interpersonal interactions\_\_**\_\_\_\_\_ to reduce **anxiety.**
37
How did H S Sullivan define ANXIETY?
any painful feeling or emotion. that comes from social insecurity or prevents biological needs from being satisfied.
38
H S Sullivan's **Security Operations** means?
Security Operations are the measures that people use to reduce ANXIETY and to increase SECURITY. These make up the self-system.
39
How long does Interpersonal Therapy Last?
Short term
40
What THREE type of problems that respond well to INTERPERSONAL THERAPY?
1. grief and loss 2. interpersonal disputes 3. role transition major depressive disorder
41
Who developed the first systematic framework for psych nursing and established the foundation for professional practice of psych nursing?
Hildegard Peplau 1909-1999 Interpersonal Relations in Nursing 1952 Influenced by H S Sullivan
42
Name 2 things that Peplau was the first to do?
identified psych nursing as essential to nursing and as a speciality of nursing. Described the nurse- patient relationship as foundation of nursing practice what nurses do WITH patients.
43
Peplau's Nursing Theory
how nurse helps patients to make positive changes in health Illness offers opportunity for personal growth can coping strategies Self-awareness to keep focus on patient observe the patient and themselves
44
Peplau's most universal contribution to psych nursing
application of H S Sullivan's theory of anxiety interventions to lower anxiety lower anxiety and you improve the patient's ability to think and function
45
Patricia Benner
Caring as foundation for nursing bearing witness to suffering
46
Dorothea Orem
Goal of self-care as integral to nursing esp working with seriously mentally ill patients.
47
Sister Calista Roy
Continual need to adapt physically, psychologically, and socially - Nurse assisting patients to adapt so they can cope.
48
Betty Neuman
Impact of internal and external stressors on equilibrium of the system - nurse helps patients to use stress reducing strategies
49
Joyce Travelbee
meaning in the nurse patient relationship importance of communications affirming suffering and alleviating it through communication skills
50
What is Behavior Theory
If behavior changes, personality changes uses the process of conditioning pairing a behavior with a condition that reinforces or diminishes the behavior.
51
What is classical conditioning theory and who invented it?
Ivan Pavlov 1928 Involuntary not spontaneous choices bell food salivation
52
Who developed Behavorism?
John B. Watson 1919 personality traits learned through classical conditioning control the environment and you can train anyone to do anything
53
Who began OPERANT CONDITIONING THEORY?
B.F. Skinner 1987 Voluntary behavior is rewarded through reinforcement which makes the behavior occur more frequently. Positive and Negative reinforcement Punishment no reinforcement is extinction. tell a joke no one laughs, stop telling jokes
54
What is BEHAVIORAL THERAPY?
Directed at specific problems Do not need to know why to change it.
55
what problems can BEHAVIORAL THERAPY Help the MOST
phobias, ETOH, schizophrenia, etc
56
Name FIVE TYPES of behavior Therapy
Modeling, operant conditioning exposure and response prevention, aversion therapy, and biofeedback.
57
Behavioral Therapy Modeling
therapist provides a role model for specific behavior and the patient learns through imitation
58
Behavioral Therapy Operant conditioning
behavior modification with positive reinforcement autistic and mentally disabled severe and persistent mental illness
59
Behavioral Therapy Exposure therapy
For people who have anxiety due to fears, phobias, or traumatic memories.
60
Behavioral Therapy Aversion Therapy
ETOH, paraphilic disorders, shop lifiting, aggressive behavior, aggressive, self-mutilation. nail bitting - bitter substances on anils controversial
61
Behavioral Therapy Biofeedback
can relax muscles and reduce pain
62
Implications of behavioral therapy and nursing
Token economies - positive reinforcement smoking cessation =- reducing cues to smoke
63
What is COGNITIVE THEORY? Name 2 main ones
Thoughts come before feelings and actions Rational-Emotive. and Cognitive Behavior Theory
64
Cognitive Theory Rational-Emotive Theory
Albert Ellis 1955 ABC Activating event, beliers, emotional consequences Negative thinking. half full or half empty cant change past change how we are now
65
Cognitive Behavioral Therapy
Aaron Beck 1979 CBT active, directive, time limited structured Depression anxiety phobias, and pain
66
Who is Hildegard Peplau?
mother of psychiatric nursing framework is her book Interpersonal Relations in Nursing established the foundation for professional practice of psych nursing first nurse identify psych nursing as essential to gen nursing and as a specialty First nursing theorist to describe patient nursing relationships as the foundation of nursing practice Not do to patients but WITH patients nurses are participants and observers sullivan's theory of anxiety and its application to perception and learning
67
Peplau More
1909-1999 Rutgers 20 years interview techniques grad education importance summer workshops in state hospitals
68
Peplau's Phases
**Pre Orientation** - prior to meeting. self-awareness **Orientation** - rapport, formal and informal contract mutual problem solving, genuineness **Working Phase** - gather date facilitate change, goals **Termination phase** - final summarize goals objectives, exchange memories, incorporate into daily living.