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Far Eastern University-Institute of Nursing In-House Nursing Review Hand-out PSYCHIATRIC NURSING Course Outline: I. Fo un da tio ns of Me ntal He al th Dev elo pmen t: The or ie s II. Defense Mechanism III. Therapeutic Modalities IV. Mal adaptive P at terns of B ehavior  a. Anx iet y Respons e and Related Disorders b. Emotional Res pon ses and Moo d di sor der s c. Schizo prenia and othe r psychotic and mood dis ord ers d. Soc ial r esp ons es an d per son ali ty disorders e. Substance Related Di sorder s f. Psy cho physio logic responses, somatof orm and sle ep diso rde rs g. Abuse and Vio le nc e h. Eat in g dis or de rs i. Se xual Disorders  j. Emotional Disor der s of inf ant s, ch ildren and adolescents V. Psychiatric Medications I. FOUNDATIONS OF MENTAL HEALTH DEVELOPME NT: THEORIES A. ERICK ERICKSON: Psychosocial Age STAGE Developmental Tasks Needs that should be Met 0 -18 mos INFANT Trust vs. Mistrust Attention specially when hungry; important factor is feeding 18 mos -3 yrs TODDLER Autonomy vs. Shame & Doubt. Complement and Appreciation for things done; Toilet-training should be completed 3-5 years PRE-SCHOOL/ EARLY CHILDHOOD Initiative vs. Guilt Options and alternatives given from which the child can choose on their own but with adult supervision(example : which toy to play, what food to eat); Opportunities for exploration of self and reality 6-12 years SHOOL AGE Industry vs Inferiority Involvement in competitive activities like academic/ scho ol competencies and games 13-18 years ADOLESCENCE Identity vs Confusion Establishment of friends, Belongingness to peers 19-25 years YOUNG ADULTHOOD Intimacy vs. Isolation Intimate Relationships; Love 26-45 y ears MIDDLE ADULTHOOD Generativity v s. Stagnation Being a worthy and p roductive member of  the society, being a responsible parent ImplicationNe eds Id 46- death LATE ADULTHOOD Integrity vs. Despair Recollection of life in the past, Sense of  Accomplishment C. SIGMEUND FREUD: Psychosexual Stage Sexual development ORAL  – 0 to 18 months Sucking – mouth – survival: feeding  ANAL – 18 months to 3 years Toilet training sense of control (autonomy) PHALLIC  – 3 to 6 years old penis and vagina starts to masturbate love of parent of opposite sex > Oedipal complex  – boy loves mother 213 If a specific deve lopmental tasks are not met within the stage, person may manifest psychologic problem related to the missed task in the past.

Psychiatric Nursing p.213-231

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