Theories and Therapies
Freud
o Psychoanalysis: therapeutic process pf assessing unconscious thoughts and feelings and
resolving conflict
Past relationships are the common focus
Disadvantage: lengthy
o Persona
...
Theories and Therapies
Freud
o Psychoanalysis: therapeutic process pf assessing unconscious thoughts and feelings and
resolving conflict
Past relationships are the common focus
Disadvantage: lengthy
o Personality structure
Id: pleasure principle and reflex action (think hungry newborn crying)
Ego: problem solver and reality tester
Superego: moral component of personality
o Defense mechanisms and anxiety
Operate at an unconscious level
Defense mechanisms work by denying, falsifying, or distorting reality to make it less
threatening
o Experience during the early stages of life determine how you react
Individuals’ lifetime adjustment patterns
Personality traits
o Transference vs countertransference
Erikson
o 8 stages of development
Infancy (0-1 ½ yrs) – Trust vs mistrust
Early Childhood (1 ½ - 3 yrs) – Autonomy vs shame and doubt
Preschool (3-6 yrs) – Initiative vs guilt
School age (6-12 yrs) – Industry vs inferiority
Adolescence (12-20 yrs) – Identity vs role confusion
Early Adulthood (20-35 yrs) – Intimacy vs isolation
Middle Adulthood (35-65 yrs) – Generativity vs self-absorption
Later Years (65+ yrs) – Integrity vs despair
o Development model we use in the nursing assessment
o Helps to determine what types of nursing interventions are most likely to be effective
Sullivan
o Foundation for Hildegard Peplau’s theory
o Purpose of all your client’s behavior is to get their needs met through interpersonal interactions
and to reduce or avoid anxiety
o Proposed that the nurse-client relationship “facilitates forward movement” for the nurse and the
client
o Process of nurse working with client is to:
Facilitate the client’s boundary management
Independent problem solving
Decision-making that promotes autonomy by modeling good behaviors and correcting
bad behavior
Hildegard Peplau
o Art of nursing
Provide care, comp
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