PSYCHODYNAMICS

A. PREDISPOSING FACTORS

Predisposing Factors Present Documentation

Age At the age of 30, Patient The condition usually begins in the late
R diagnosed with teens or early adulthood, up to age 30. It
Schizoaffective rarely occurs in children. Studies suggest
Disorder, Intellectual the disorder is more likely to occur in
Disability women than men.
Sex Patient R is male. With a lifetime frequency of around 0.3%,
schizoaffective disorder is rather
uncommon. Schizoaffective disease affects
men and women equally, however men
frequently suffer the condition at a younger
age

Reference SCHIZOAFFECTIVE
DISORDER 2020; Retrive from,
https://namica.org/illnesses/schizoaffective-
disorder/
Environment The patient has no People with schizoaffective disorder who
unstable shelter and inherited a higher risk may be affected by
stayed in different specific environmental circumstances.
places. Factors may include emotionally traumatic
experiences, extremely stressful conditions,
or certain viral infections.

B. PRECIPITATING FACTORS

Precipitating Factors Present Documentation

Substance Abuse The patient used weed and Using psychoactive drugs,
rugby. such as marijuana, may lead to
the development of
schizoaffective disorder.
Alcohol Consumption Patient reported heavy use of Schizoaffective disorder
alcohol.
and alcohol do not mix.
Alcohol can dangerously
aggravate
schizoaffective
disorder symptoms
Smoker Patient is smoker people with schizophrenia who
smoke the most tend to have
worse symptoms than those
 who smoke less.
Poor Nutrition Patient has not enough food to  Schizoaffective Disorder have
eat. a poor diet, mainly
characterized by a high intake
of saturated fat and a low
consumption of fiber and
fruit. Such diet is more likely
to increase the risk to develop
metabolic abnormalities.

The dietary pattern of

patients with schizophrenia:
A systematic review

Author links open overlay

panelSalvatore Dipasquale

Psychosocial Factors The patient experienced

family conflicts that force him
to leave in their home.
 CONCEPTION

BIRTH TO 18 MONTHS

(TRUST VS MISTRUST)

FATHER MOTHER

 The one
 Provides who
the needs of nurture the
his family child
 Discipline  Give birth
his son to his child

PATIENT

 During our music therapy Mr. R verbalized

his feelings to his student nurse, as he
verbalize that “Katong mga panahon na
kauban nako akung pamilya hilig jud me mag
kanta kanta”

TRUST
Analysis
 18 MONTHS TO 36 MONTHS

(AUTONOMY VS SHAME AND DOUBT)

FATHER MOTHER

 Busy on
 Doesn’t
work
train well
 Does not set
his son
rules
accordingly

PATIENT

 Mr R is being dependence on others approval

Shame and Doubt

 PRESCHOOL

3-5 YEARS OLD

(INITIATIVE S. GUILT)

PARENTS TEACHER

 Doesn’t
give Mr. R
an
 Strict
opportunity
 Nurture the
to have
child.
freedom as
a child.
They set
boundaries.

PATIENT

 The student nurse always instruct him what

to do
 The patient avoids interactions on the activity
sometimes.

INITATIVE
 SCHOOL AGE

6 YEARS-12 YEARS

(INDUSTRY VS. INFERIORITY)

FATHER MOTHER

 Primary
care giver.
 Provides  Provide
support and safety on
discipline his
to Mr R childhood
friends.

PATIENT

 Patient R participates in the activities,

prepared by the student nurse.

INDUSTRY
 ADOLESCENCE

12 YEARS- 20 YEARS

(INDENTITY VS CONFUSION)

FATHER MOTHER

 Does not
act as a role
 Does not
model to his
provide
son.
emotional
 Doesn’t
support.
give time to
his family.

PATIENT

 Can’t make his own decisions.

 Short term relationship with others

 Being unsure of who you are and where you

fit


ROLE
CONFUSION
 SCHOOL AGE

20YEARS-30 YEARS

(INTIMACY VS ISOLATION)

FATHER MOTHER

 Lack of  Lack of
interaction time
to his child  Lack of
 Weak moral
support to support
the famly

PATIENT

 Less interaction to student nurse

 Doesn’t care to others
 Lack of intimacy

ISOLATION