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Conceptual Frameworks for Care

These notes were brought to you by Kim Carter – Thanks Kim!

And typed for you by Chuck Parrott – My Hero - Thanks for all you do!

Chapter 3 – Psych-Mental Health Nursing

Theory

Psychoanalytic Theoretical Perspective from Freud and his followers:

  1. All human behavior is caused and thus capable of explanation
    ex: slips of tongue, dreams, accidents
  2. All human behavior from birth to old age is driven by an energy called the libido. The goal of the libido is the reduction of tension through the attainment of pleasure.
    Ex: hunger, thirst, elimination, sex "pleasure principle"
  3. Human behavior that channels impulsive pleasure-seeking behavior into creative pursuits (sublimation) is considered the highest form of human expression. This ability to delay pleasure in favor of more acceptable behavior is called "reality principle".
  4. The id represents the most primitive structure of the human personality. "Can not wait for pleasure." Its impulsive, pleasure oriented, disconnected from reality, and inappropriate.
    The superego equals values, legal and moral, rules, regulations, and social expectations that thwart free expression of pleasure.
    It opposes the id.
    The ego is the closest in contact with reality. It is the mediator between the id and superego, it gives rise to more mature and adaptive behavior.
  5. Consciousness refers to the perception of thoughts and feelings existing in a person’s immediate awareness.
    Pre-consciousness is not immediately accessible. The mind must make an effort to retrieve this.
    Unconscious is inaccessible.

 

Therapeutic Approaches

Psychoanalysis

- Uses hypnosis, dream interpretation, free association. Its goal is to create a safe situation in which the patient can recall past traumas.

Interpersonal

- Harry S. Sullivan viewed people as essentially social beings.

Behavioristic

- Ivan Pavlov, John Watson, and B. F. Skinner

This is deterministic in nature, it is concerned only with observable behavior.

Natural Systems

- Murray Bowen family (nuclear family system)