Psychoanalysis

Sullivan's developmental stages

Infancy, childhood, juvenile, preadolescence, late adolescence, and adulthood

Length and frequency of Psychoanalysis

Long-term process with five sessions per week

Examples of resistance

Rejections, pt is not responding to what the therapist is asking or doing what they are instructed

Downfalls of psychoanalysis

Time consuming and expensive

Reason human needs must be met, according to Peplau

To achieve and maintain a healthy state

Interpretation of frustration of the patient in psychoanalysis

Transference

Definition of free association

Verbalization of thoughts as they occur without being censored

Peplau's definition of therapeutic relationships

A close, helping relationship based on trust, which allows the nurse and client to work collaboratively to help the client

Definition of psychoanalysis

A system of psychological theory and therapy for tx of mental disorders by investigating the interaction of conscious and unconscious elements in the mind bringing repressed fears and conflicts into the conscious mind by techniques such as dream interpretation and free association

Role of the pt in psychoanalysis

Active participant, freely reveal all thoughts exactly as they occur, describe all dreams, recumbent position and vulnerable position

Pt view of the therapist at the end of therapy

Another adult and an equal partner

Freud's basic assumptions

Anxiety motivates all behavior, all behavior has meaning and present behavior is influenced by past experiences

Key concepts of interpersonal theory

Behavior and personality are direct results of interpersonal relationships, childhood experiences determine the adult personality, and personality development continues into adulthood

Behavioral techniques used to weaken connections between troublesome situations and habitual response to it

Breathing exercises, guided imagery, relaxation therapy, distraction techniques

Significance of dream symbolism

Communicates areas of intrapsychic conflict

Definition of resistances

Conflictual areas that are not discussed or recognized by the patient

Focus of psychoanalysis

Discovering the cause of the client's unconscious and repressed thoughts, feelings and conflicts believed to cause anxiety

Intervention used by therapists using Sullivan's theory

Discuss current interpersonal relationships

Psychoanalysts attribute disrupted behavior to this

Earlier developmental stages

Pt view of the therapist throughout therapy

Expert

Role of recumbent position

Facilitate free association and bring back memories of childhood

Freud's significance in hx

First theorist to develop comprehensive theory of personality development

Undue emphasis on any stage or difficulty dealing with conflicts is due to this

Fixation of psychological energy (libido) in an attempt to deal with anxiety

Major techniques in psychoanalysis**

Free association and dream analysis

Examples of noncommittal and brief verbal responses

Go on, Tell me more

Goal of psychoanalysis

Help client to gain insight into and resolve conflicts and anxiety

Role of vulnerable position

Help create childhood situation

Focus of Sullivan's Interpersonal Theory in therapy**

Here and now, active and re-educative

Nursing according to Hildegard Peplau

Nursing is an interpersonal process

Reason psychoanalysis is conducted outside the direct line of vision of the pt

Prevents nonverbal responses from influencing the pt verbalizations

Significance of dream analysis interpretation

Recognizes intrapsychic conflict and expains to the pt the meaning of dreams

The therapist in psychoanalysis can temporarily assume this role

Replacing the significant other of the pt's early life experience with previously unresolved conflicts to be worked thorugh to a healthier conclusion

Significance of sx in psychoanalysis

Representative in a symbolic way of the original conflict

Psychoanalyst Role

Reveal nothing personal, conduct outside of direct line of vision of the pt, noncommittal and brief verbal responses, present interpretations to accept or reject

Key component of nursing according to Peplau**

Self-awareness

The purpose of the therapeutic relationship according to Sullivan

Serves as a model of adaptive interpersonal relationships

Ways the therapeutic relationship helps the client, according to Peplau

Solve problems, cope more effectively, achieve developmental goals

Role of the pt in early therapy

Subservient

Founder of Interpersonal theory

Sullivan

Basis of psychiatric nursing intervention**

Sullivan's interpersonal theory

Key components of behavior therapy**

Techniques used to modify behavior, reinforced behavior is learned

The foundation of nursing care, according to Peplau

Therapeutic relationships

Types of patterns that free association searches for

What is verbalized in areas that are avoided shows

According to psychoanalysis, when anxiety levels rise, the pt will do this

regress behaviorally to the level of fixation