Theories and Therapies Freud o Psychoanalysis: therapeutic process pf assessing unconscious thoughts and feelings and resolving conflict Past relationships are the common focus Disadv ... antage: 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 [Show More]
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