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
