Professional Documents
Culture Documents
MENTAL ILLNESS
Happiness Control over behavior Appraisal of reality Effectiveness in work Healthy self-concept Satisfying relationships
(give and receive love)
Ability to
oDeal with conflicting emotions oLive without undue fear, guilt, or anxiety oTake responsibility for one's own actions oThink clearly oNegotiate each developmental task
Affective Disorders- 9.5 pre-cent. 18.8 million Suicide- 29,350 people committed suicide Schizophrenia- 1.1 percent, 2.2 million Anxiety disorders- 13.3 percent, 19.1 million Eating disorders- 2- 5 percent of population ADHD- 4.1 percent of youth ages 9 to 17 Substance abuse- 11.3 percent of the population
PSYCHOLOGICAL
PSYCHOBIOLOGICAL
Genetic
Other Biological Influences The Role of the Environment
PSYCHOBIOLOGICAL
Overview of the Brain
Forebrain
Cerebrum
o Frontal lobe- Voluntary movement, language, executive function o Parietal lobe- Sensory impulses, tactile sensations o Temporal lobe- Memory, emotions, taste, smell, auditory
Diencephalons
PSYCHOBIOLOGICAL
Overview of the Brain (cont.)
MIDBRAIN
HINDBRAIN
Pons- Visceral & somatic motor control Medulla- Autonomic functioning of major Cerebellum- Modulates movement
organs
PSYCHOBIOLOGICALNEURON
PSYCHOBIOLOGICALNEUROT
RANSMITTER
SYNAPSE
PSYCHOBIOLOGICALNeurotrans
mitter/ Receptor/ Disorder
Norepinephrine NE Mania
Depression
PSYCHOLOGICAL
PSYCHOLOGICALPSYCHOANALYTI
CAL EGO FUNCTIONS
EGO
1.
1. REALITY
1.
TESTING
1. DEFENSIVE
FUNCTIONING
2.SENSE OF REALITY
2.OBJECT RELATIONS
3.JUDGEMENT
4.IMPULSE CONTROL 5.THOUGHT PROCESS 6.ARISE
3.AUTONOMOUS FUNCTIONING
4.STIMULOUS BARRIER 5.MASTERY COMPETENCE 6.SYNTHETIC INTEGRATIVE FUNCTIONING
PSYCHOLOGICAL
Freud
Oral (0-18mos Anal (18mos-3yrs) Phallic (3-6yrs.) Latency (6-12yrs) Genital (13-20yrs)
PSYCHOLOGICAL
ERIKSON Psychosocial Stages of Development Trust vs Mistrust
Initiative vs Guilt
PSYCHOLOGICAL
ERIKSON (cont) Industry vs Inferiority
Intimacy vs Isolation
PSYCHOLOGICAL
ERIKSON (cont) Generativity vs Stagnation
Emphasis on human potential and clients strengths Establishes what is most important in sequences of
nursing actions Sets Priorities Varcarolis p. 20-21
4. Planning 5. Implementation
Support systems
Family influences Developmental events Cultural beliefs and values Health practices Negative influences
PSYCHIATRIC ASSESSMENT
Construct database
oMental status examination (MSE) oPsychosocial assessment
oPhysical examination
oHistory taking oInterviews oStandardized rating scales
DIAGNOSIS OF PSYCHIATRIC
ILLNESS
DSM-IV-TR
Mental disorders are considered a manifestation of a
Axis I- All major psychiatric disorders Axis II- Personality disorders; Mental Axis III- Current medical conditions that are Axis IV- Psychosocial and environmental
relevant to the mental disorder
problems retardation
Therapeutic Approaches
CULTURAL BIASES
Anxiety
+ +
Reality testing
Self esteem = Level of functioning and manage disease
process