Separation-Individuation
6-36months - child dev self identity separate from mother
develops introjection in this period - identity of mother both positive and negative
4 Sub-phases
Differentiation 6-10months - child learns mom is separate person
Practicing 10-16months - child is excited about exploring
Rapproachment 16-24 months - constant need to check back with mother, learns that with this new exploration comes increased vulnerability
Object Constancy - 3rd year of life, child integrates good and bad aspects of mother and child into one image. This stage is needed for stable relationships later on.
By 10months - personal/soc beh.
Child should have separation anxiety, if child still has this by 18months, then the child is delayed
by 18monhts
Motor - feed self partially, pull toy on a string, carry a fav doll and imitate some behavioral patterns that he sees
Transitional object
seen in kids 18-24months, allows child to deal with separation anxiety, surrogate care giver (toy or blanket)
Denial
the pt consciously believes NOTHING bad actually happened
Sublimation
inappropriate response into appropriate one –> anger –> workout/sports
Reaction Formation
Do the opposite of what you feel b/c its inappropriate - act super nice to a person you hate.
Egocentrism
child ages 2 and 5 to 7 years can’t understand another’s POV - pre-operational stage
Freud Stages
Oral, Anal, Phallic, Oedipal, Latency, Genital
Freud - Oral Phase
0-18months - oral sensation (sucking, feeding, biting)
Excessive gratification or deprivation –> oral fixation –> dependent and require others to fulfill there needs
Freud - Anal Stage
18-36mon - child is more independent/active
- defecation and retention of feces is main source of stimulation
- anal traits persist as personality traits
- –> OCD/OCPD
Phallic Stage
starts at age 3
erotic pleasure of penis/clitoris
Latency Stage
ages 5 and 11 to 13years
sexual drive is quiet, focused on new skills and social interaction with peers
Genital Stage
puberty –> young adulthood
- reintensify of sexual drives
- mastery of instincts
- separation from parents
- and estb of genital sexality w/ an appropriate partner
topographic model of mind
conscious, per-conscious, and unconscious
parapraxes
slip of tongue that reveals the subconscious
Structural Theroy of Mind
Id/Ego/Superego
Primary Process
refers to thinking that is dereistic, illogical, or magical; it is normally found in dreams or abnormally in psychosis
Overt interest in opposite sex
ages 12-15
consolidation of personality
ages 17-20
AHDH combined type requirments
MUST occur in more than 1 setting, home and school
Rett disorder onset
6months after birth
small head size and unusual gait
Rett d/o sx
hand stereotypes
diff from autism b/c Rett starts out with NORMAL dev of speech and other behaviors, THEN loses them
Rett vs Autism
diff from autism b/c Rett starts out with NORMAL dev of speech and other behaviors, THEN loses them
Dyslexia commonly seen with
ADHD
often have verbal language deficits as well
Infant born to heroin addict
Withdrawal sx in first few weeks of life etc
first year of life –> hyperactive, poor motor coordination, inattentiveness
Prenatal exposure to cocaine
impaired startle response
impaired habituation, recognition and reactivity to novel stimuli
increased irritability in infants
OLDER CHILDREN –> language delays, poor motor coord. hyperactivity, attn defects
noctural enuresis facts
boys>girls
assoc w/ day time wetting
classsical conditioning = best first line
- 50% effectiveness and good long term maintenance
tx for tix d.o
Anti=psychotics and alpha 2 agonists (clonidine and guanfacine)
Pemoline side effects for ADHD
can cause choreiform movements and cardiac arr